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HomeMy WebLinkAbout96-01011 No. 71 - % - 1011 Estate of .J. IInrolll I'hllllllH , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW December g , 19~, in consideralion or Ihe pelilion on Ihe reverse side hereor, salisractory proor having been presented berore me, IT IS DECREED Ihallhe InSlrument(s) daled Februarv 25 , 1983 (, December 4, 1987 described Iherein be admined 10 probate and filed or record as Ihe lasl will or .J, lIa ro 1d Ph illi ps and Leners Testamentarv are hereby granted 10 Richa rd D, Hammann J~i]' ,~ 1 I. '. -? i ~ 1 (q, /' /J;ilb.l . .( If, Il17 .1 ,IUA - It f) f!b ~ . I I Resister or Wills L- 0 l- MARY CLEWIS FEES John H, Broujos, I,D, 06268 AlTORNEY (Sup. Cl, I,D. No,) 4 N, lIanover Street, Carlisle, PA 17013 ADDRESS :170,00 60.00 Probale, Leners, Elc. "....... $ Short Certmcales(?~ .... ,..... $ Renunciation,.,...,..,...... $ X-Pages $ 9.00 Codicil lB,SO JCP TOTAL - $ ~.90 Filed ,m.~~~~~..~,. ,l.~~(>...,.. .~,~~,.,'iO 717/243-4574 PHONE Q:,; Called attorney on 1?-Q-Q6, [10;:,.;,. :i r: '96 UIC-5 P3:58 ell;:, Cun, . It ". _" ;,1,,\ ... - III ~~n~ . t "" !iU~ .... ..J . t ..J .... :r: +H "" 9 8~~~1 ~ ~ ~<~~t: . ~ '-',.. :. ...........'. . .. W 1 L I. I, J. IIAROLllI'IIlLI.lI'S, Of 928 Forbes Iload, Carlisle, Cumher1and County. Pennsylvania. declare this to he my last will. 1 rcvokc any othcr wills und codicils that I muy prcvious1y havc mudc. ITEM ONE, My just dcbts und expenscs of my lust iJ 1nl'ss, funcru1. and adminis- tration of my cstatc shull be puld by my executor from the prlncipu1 of my residuary estute as soon as pl'llcticub1e aftcr my dcath. l'I'E~1 TWO. All inhcritance, estate. and succession taxes (including interest and pena1tes thereof but not including uny geaeration skipping tax) payable by reason of my death shall be paid out of and be charged generally aguinst the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my executor has to claim reimbursement for any such taxes which become payable on account of any property over which I have a power of appointment, ITE~1 TIIREE, I give, devise and bequeath all of my personal belongings, consisting of any automobiles, household effects, and personal effects. to my daughters, SUSAN 1'. lIi\lol/olANN and SARA ANN PIlI LLI 1'5, equally. or to the survivor thereof. ITEM FOUR, I give, devise and bequeath all the rest, residue and remainder of my entire estate, wherever situate, in which I may have an interest at the time of my death, not otherwise effectively disposed of, but not including any property over which I may have a pOlier of appointment, to Trustee under Trust Agreement executed on February 25, 1983, between me and FARMERS TRUST CO~IPANY, Trustee. Such property shall be added to the corpus of such trust and held, administered, and distributed by the Trustee in accordance with all the tenus and conditions of such Trust Agreement. Thc receipt by the Trustee shall be a full dischalge to my executor for the distributor of such property, Upon such distribution to the Trustee, the administration of my estute shall cease with resp<,ct to the assets then passing to the Trustee, ITEM FIVE, In addition to the rights and powers given to fiduciaries by law and elsewhere in this will, I give to my Executor during the full time necessary for the administration of my estate the following rights and pOliers to be exer- cised in his sole discretion, A. To retain any real or personal property which may ut any time form a part of my estate so long as he or she deems it advisable. B, To invest in any real or personal property without restriction to legal invest- ments, C, To repair, alter, improve or lease for any period of time any real or personal property and to give options for leases. D, To sell at public or private sale for cash or credit with or Idthout security, to exchange or to partition real or personal property and to give options for ~~ leases. ~ E. To make distribution in kind. F, To compromise claims. ITE~1 SIX, I appoint RICHARD D. lIi\loll-lANN Executor of this my last will. Should he fail to qualify or cease to act as Executor, 1 appoint my daughter, SUSAN P. lIi\lol/olANN to act as Executrix with the same rights, powers and duties, Should she fail to qualify or cease to act as Executrix, I appoint my daughter SARA ANN PHILLIPS to act as Executrix with the same rights, powers and duties. ITEM SEVEN, I direct that my Executor shall not be required to give bond for the faithful performance of their duties. Page One of Three Pages ." ~. ',. . , . , .... IN WITNESS WlIEREOF, I have hereunto set my hand this p. J day of Pebruary, 1983, SIGNED~~f~~~ ~ The preceding instrument, consisting of this and two other typewritten pages, each identified by the signature of the Testator, J. HAROI.n 1'111 LLII'S, was on the day and date thereof signed, published and declared by J, HAROLD I'II1LLII'S, the Testator therein named as and for his last will, in the presence of us, who at his request, ill his presence and in the presence of each other have subscribed our names, c ' "" \ ' .- ,,\ j ,I \IS ~\/--. ;....J" , '-\ - ~...\....( r =----a f) . . (lj,~,-, ~1 :JIAJ1J!..~ ) COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS We, .J6~"\\ \\. '~<?l.......~l'C'~ and J.~ T 'l~."..\c.<>- ,the witnesses whose names are signed to the attached or foregoing instrument being duly qualified according to law, do depose and say that we arc present and saw the Testator sign and execute the instrument as his last will; that J. HAROLD PHILLIPS signed willingly and that J, HAROI.D PI\1LLIPS executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence, r-----:> \\~) '''~I' , ) f\ n ' , ~il.;i"~_ fbUJJ'--. \\ ( '\ \ ',--- Sworn to and subscribed before me this L't':-, ;)'i day of February, 1983, D~y\ '~~ ~QQt\I\Ct'-=' Notary~lic i" .,' '''_ ,y,(,l:. (.J;".,t...\. r\,r~''''! ' ('u .., t f " \'. ,'.f \ ('t '.' ..' \ 'I {r., 1,'.1 C \ ')f , (. \", } ~"'\'\lI"\1 Iq,lq~7 Page Two of Three Pages ..". . . ~' '.. " " COMMONWIlALTII Oil PIlNNSYLVANIA COUNTY OF CUMBIlRLAND SS I, J. JlAROLD PIIILI.IPS, Testator, whose nome is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will; that I signed it willingly; and that 1 signed it as my free and voluntary act for the purposes therein expressed, Sworn and t{firmed to and acknowledged before me, by J, JlAROLD PIIlLLIPS, Testator this .95 day of February, 1983, , ~~a~~ , JlAROLD PIU LLI PS . Q~:Y'I:t\ C(t,,,,cv~ otary puM .. ~,,<v.. ful:. Q..\n f(\'C"" \'0:.lfd'l 0....."\:,\'dn.,,A Ch\\h\'11 (arlo~\e.. (~~(C,.' ~"",C\.(' ~ Il\. IC)~I-I. Page Three of Three Pages ~..r \"t" ____ L - & j". t ~ ..~ . :t ~..... '} 8~~ ~. -" R',"" " " c' r' ' '9~ \In:-G Ck CUi ,,' ~ .' '." nO-\ 'I;n ; ... ..0 ;'\ .' , \'/" " .,../ - ....... .1 ~ COD I C I L I, J, HAROLD PHILLIPS, of 928 Forbes Road, Carlisle Cumberland County, Pennsylvania, having made my last will and testament dated February 25, 1983, do hereby make, publish and declare this to be a Codicil to my said last will and testament, ITEM ONE: I amend my will to delete Item Three thereof and to substitute therefore the following Item Three: ITEM THREE: A, I give and bequeath the following sums to the following charitable and health serving organizations: Salvation Army, Carlisle American Cancer Society, Carlisle Arthritis Foundation (for research) Perkiomen School, Pennsburg, PA $1,000 1,000 2,000 1,000 B. I give and bequeath the sum of $5,000 to NORMA ZAVALA HAMMANN, so long as at the time of my decease she is the wife elf MARK HAMMANN. C. I give and bequeath the sum of $5,000 each to REBECA HAYDEE HAMMANN, the daughter of MARK HAMMANN and to any other children born to MARK HAMMANN living at the time of my decease. 0, In the event that where my granddaughter LISA HAMMANN becomes and is married at the time of my decease, I give and bequeath the sum of $5,000 to her husband, so long as they are lfo.lrried at the time of my decease. E, I give and bequeath the sum of $5,000 each to any children born to my granddaughter LISA HAMMANN and living at the time of my decease. F. In addition to the above bequests, I give and bequeath the sum of $2,000 each for purpose of a family vacation only, in the event that they are living at the time of my decease: 1, NORMA ZAVALA HAMMANN, so long as she is the wife of MARK HAMMANN at the time of my decease, 2. REBECA HAYDEE HAMMANN and any other children of my grandson MARK HAMMANN, Q ~ .. ,7 -I;' L .:A . .' ( . 3. In the event my granddaughter LISA HAMMANN becomes married, to her husband, so long as she is married to him at the time of my decease. 4. Each child born of the marriage of LISA HAMMANN and any future husband living at the time of my decease, G. I give, devise and bequeath all of my personal belongings, consisting of any automobiles, household effects, and personal effects, to my daughters, SUSAN p, HAMMANN and SARA ANN PHILLIPS, equally, or to the survivor thereof. ITEM TWO: I hereby ratify and confirm my said last will and testament in all other respects excepting insofar as any part thereof is revoked or modified by this Codicil. IN ~~TNESS WHEREOF, I have hereunto set my hand this Y- day ofD.'c.-<.:;:.,..~v , 1987. , , / ,?' . ,,)1 '. I SIGNED. 'fl--;: {.tr .~. /'t./.~'/"': J_ J, HAROLD PHILLIPS / PAGE ONE OF TWO PAGES . . . .' - The preceding Codicil, consisting of two typewritten pages, was on the day and ate thereof signed, published and declared by J, Harold Phillips as a Codicil to his last will and testament, and we, in the presence of each other, have subscribed our names as witnesses hereto, SIGNED (\ \ ~-') . - \J.,., ~) )~\)~ SIGNED COMMONWEALTH OF PENNSYLVANIA . . SS COUNTY OF CUMBERLAND : We 1,^",~~, \Soi""-J~O~ andQL~Nff rt G;(~~ witnesses whose names are signed to toe attached or fo going instrument being dUly qualified according to law, do d pose and say that we were present and saw the Testator sign and execute the instrument as a codicil to his last will; that he signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the codicil as witnesses; and that to the best of our knowledge, the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn and subscribed to 1/1 before me this ~ day of 0e -rn blr' , 1987. - Zv"ltJ -!J. \.A3t 'It/.'/ Notary Public /. KAREN F. BYERS, Notary Public 4 North H~no...nr SI. Car"~lo, C'!rr.':r;r:.1~'" Gt'{., r>,\ 1i013 '"" ", 'In I.'.,'.. , I .,' ',", Ill, ,I "'I..Il:", ",1.4.'...'/ ll'. 1.,J~1 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, J. HAROLD PHILLIPS, whose name is signed to the attached instrument, having been dUly qualified according to law, do hereby acknOWledge that I signed and executed the instrument as my last will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Swor~ and affirmed of .l1l CC"7rJh/ r .,4, 'rJ ,I II .--rj d: 0 Notary Public '/. I , I .;Y ," ,'., ,-. ./r(./~-61.~ \.._J,/ I,~ LL(~/~"-'___ / J. HAROLD PHILLIPS ' j Ii I h to and acknOWledged before me this I day , 1987. KAREN F, BYERS, Notary Public 4 North HMover SI. Car"~lo, Curr,tnrl3n1 Cty., PA 17013 My Torm EXjJlrcs l.-iarcil 10, 1Sal PAGE TWO OF TWO PAGES ,21' (II. -ID" INVENTORY OF THE REAL AND PERSONAL ESTATE OF J. Harold Phillips, docoasod 1, Stocks $ 240,440,00 BrIggs & Stratton $ 16,550,00 Equllax $ 76,600.00 K,Mart $ 6,600,00 Kollogg $ 54,300,00 Southom Co, $ 18,690,00 Travolors $ 36,000,00 Trlnova $ 10,950,00 Washington Oas/Llght $ 9,550.00 Whitman $ 9,200.00 2, Agway Prelorrad Stock 1,500,00 5 sharos /I Dl1491 $ 500 5 sharas /I Dl1492 $ 500 5 shares /I Dl1493 $ 500 3, Mutual Funds 30,824,98 T. Rowe Price Equity Income Fund $ 12,830,87 Value Line Convertible Fund $ 11,144,87 Vanguard Prelerred Stock Fund $ 6,849,24 4, CheckIng Account. Fanners Trust Co. No. 5.23823 $ 12,438.65 5, Automobile. '89 Mazda 323 Hatchback 1,500.00 6, Certificate 01 Doposlt . Fanners Trust Co. . No. 122087 10,540,78 7. Certificate of Doposlt . Fanners Trust Co, . No. 122088 10,540,78 8. Certificate of Deposit. Fanners Trust Co, . No. 122089 10,540.78 9. Certificate of Deposit. Fanners Trust Co, . No, 122072 5,080.79 10. Certificate of Deposit. Fanners Trust Co. . No, 130052 10,010.58 11. Agway Money Market Certlllcates . 27,840,58 /I FS 1973 $ 7,066,15 /I FS 1974 $ 3,533,06 /I FX 455 $ 8,239,15 /I FY 1255 $ 1,601.02 /I LD 1397 $ 7,401,21 COMMONWEALTH OF PENNSYLVANIA II COUNTY OF CUMBERLAND RIchard D, Hammann, being duly sworn according to law, deposas and says that he, the Executor of the Estate of J. Harold Phillips, late of Carlisle, Cumborland County, Pennsylvania, deceased and that the within Is an Inventory made by hlmsel', the Executor of the entire astate of decedent, consisting off alt the personal property and real estate, except real astate outside the Commonwealth!Qt!P-Onnsylvanla, and-:l/lat the figures opposite each Item of the Inventory represent It's faIr value as of the'ilalil of dliEjldent'li~di'iith, Sworn and subscrIbed beforo me, this I "''uay 01 iJ:J.'li/l \0 iJ .1997, / rYi,-IL oarlalS I Sharrl L Murphy, Notary Puollc Ca11Isla BolO, Cumberland County My Commission Expires Jan. 4, 1999 ./") .. 1~;;J,tl;) /1.: IJ:II/,.,:/L Richard D. Hammann, Executor 928 Forbas Road Carlisle, PA 17013 .-... III G ~ <0 (.Ii \J1 t:. ,', 'l-;' J. .; Date 01 Death: November 29, 1998 INSTRUCTIONS 1, An Inventory must bellied wtthln thre. months .n.r .ppolntm.nt of p.~on.1 representallv., 2, A suppl.ment Inv.ntory must b.lIl.d wtthln thIrty days of dlscov.ry of addltlon.1 ....ts, 3, Additional .hoots may be .l\ach.d as to pe~on.lty or re.lty. 4. S.. Artlcl.IV, Flducl.rt.s Act of 1949, '- , BROUJOS & GILROY, P.C. ATI'ORNEYS AT LAW 4 NORTH HANOVER STREET CARLISLE, PENNSYLVANIA 17013 , 717.24304574 766-1690 '.I." i:)'J.'.H,'J.'J:.1."1J:i .., . I . , THIS IS A SETJ'LEMENT STATEMENT, mad~ Ihis ,_ ~__ day of _!-:..tI."!~_~, "j-__ .2003. hy Ri~hard D. Ilmnnllllln, Ex~clltor, WHEREAS: A. J. Harold Phillips, 01'928 Forhcs Road. Carlisle, Pennsylvania, died on Novemh~r 29, 1996; B, On December 9, 1996, Letters Testamentary wer~ granted 10 Richard D, Hammann at File No, 1996-01011 in the Register of Wills Ollice fi1r Cumherland County, Pennsylvania; C. Executor has administered the Estat~ of J, Ilarold Phillips up until the present time and has paid all debts of the estate, including Inheritance Tax ow~d; D. J. Harold Phillips died t~state, therehy v~sting all rights and interest in his personal and real property to Salvation Anny, American Cancer Society, Arthritis Foundation, Perkiol1len School. Rebeca Haydee Hammann. Jonathan J. Hammann, Susan 1', Hammann, and Sara Ann Phillips. E. Estate of J. Harold Phillips has received assets of stock. mutual funds, certificates of deposit, cash, automobile, ctc, in the amount of S407 ,832,62, and has paid the debts in the amount ofS 16,647.12; for a net estate ofS391,I85,50 with charitable deductions in the amount ofS5,OOO,OO, for net estate ofS386,I85,50, Tax paid was $23,171,13, F. Executor desires to forego a fonnal accounting and schedule of distribution and desires to conclude the estate by virtue of the tiling of this document; NOW, THEREFORE, Executor intcnding to he legally bound. statcs as follows: I, The Executor of the Estate of J. Harold Phillips need not tile a lom1al accounting or schedule of distribution. 2. Executor states that all costs of the estate arc paid. 3, Advance distributions were made as li1110WS: A, Charitable I) Salvation Anny, Carlisle 2) American Cancer Society, Carlisle 3) Arthritis Foundation (liJr research) 4) I'erkiomcn School. I'ennshurg. I' A SI.OOO 1,000 2.000 1,000 B. Minors (children): I) Reheca Hammann 7.000 . 2) Parent: Mark Ilal11l11l1nn JOllathan Ilmnl11l1nn Pllrent: Mark 1 1 al11l11allll 7,000 4, Remainder to Financial Trust Company, now M&T Bank, Trustee, under Trust dated February 28, 1983, I West High Street, Carlisle, PA 17013, 5, The final distribution of 1111 estate assets remaining aner payment of the above-mentioned Ices WllS made to the Living Trust in the amount of $ 23,040,28, 6, Executor acknowledges that any distribution l11ade by him pursuant to this Agreement were "at risk" distributions pursuant to 20 P ,S, 3532, Executor is hereby relellSed with respect to acts or omissions in the administration and distribution of the estate, 7, The Commission of Executor was waived, Since II $20,000,00 fee had been included for Executor in Schedule H, Executor has tiled a supplemental Inheritance Tax Return reducing total expenses to $ 16,647,12, for which remittance was mude to the Department of Revenue in the amount of $1,200,00 8, Executor acknowledges that this Statel11ent shall be filed with the Clerk of Orphans' Court in final settlement of the Estate of J. Harold Phillips, IN WITNESS WHEREOF, Executor intending to be legally bound hereby sets his hand and seal the day an year firJt ab~Written, WITNESS, r y, - / ) / _,' Y(>~/i' (..~t.. ;.; / 'I? P:/I:."':'-/C- RIchard D, Hammann, Executor COMMONWEAL TU OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND On this, the _ ~J. day o( _' 2003, before me, the undersigned officer, personally appeared Ri~ D, H mann, knOl n to me or satisfactorily proven to be the person whose name is subscribed to the within document, and acknowledged that he executed the same for the purpose thcrein contained. IN WITNESS WHEREOF, 1 have hereunto set my hand and notarial seal. _~/~f}ol/ ^ II ~CeJJMJ NOTAR'tPUBLl~ N...ri.1 Seal llridge! Ann Corcomn. NOW)' Public Carlisle Dom. Cumberland County My Commission Expl"" June: 10, 2006 MornllO, PMnsvlV"nlaA5SoCl/lbOOotNotBnos COMMONW[AL ftt OF PlNN5YLVAN1A DfPAIUM[Nl Of" IUV(NU( BUnrAU OF INDIVIDUAL fA)!.(5 OlPl. :soeOI IIAnnlSDuno. PA 1112B oeol fltV-1162 [XI1I 961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO, CD 002859 BROUJOS JOHN ESQ 4 N HANOVER ST CARLISLE, PA 17013 ACN ASSESSMENT CONTROL NUMBER AMOUNT ........,old 101 $220.31 ESTATE INFORMATION: SSN: 181,05,2445 FILE NUMBER: 2196-1011 DECEDENT NAME: PHILLIPS J HAROLD DATE OF PAYMENT: 08/01/2003 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 11/29/1996 TOTAL AMOUNT PAID: $220.31 REMARKS: JOHN BROUJOS ESQUIRE CHECK# 9490 SEAL INITIALS: AC RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMOP>lW[AlTtIOf 1'{P;P.S'Il\,Alll^ o[pAnTM(tjl or IlI\in.lJl OUR[AU 0' IllOl'.'I[l\JM TA.(~ eE"T .;'IIOLOI IlAIUII!>UUII<,j I'A 1 ll;fl {,l(J(l1 IUV lHi1lXtll!J1)) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002121 BROUJOS JOHN ESQ 4 N HANOVER ST CARLISLE, PA 17013 ACN ASSESSMENT CONTROL NUMBER AMOUNT ...n... told 101 $1,200.01 ESTATE INFORMATION: SSN: 181.05.2445 FILE NUMBER: 2196-1011 DECEDENT NAME: PHilLIPS J HAROLD DATE OF PAYMENT: 02/04/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 11/29/1996 TOTAL AMOUNT PAID: $1,200.01 REMARKS: JOHN BROUJOS, ESQ. CHECK II 29 SEAL INITIALS: CW RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WillS REG'STER OF W'llS ~~'iC""'" ~,q~g.. ~~V1JM OCPAllIU[NI or RfV1:tM OCPI./lroll .Wl1~SnunG PA 'rl:MCflJl CX~~~~!,r~Sl,.~.IAOO(t~!~llM!~,~~~!~,~. _. .4...._...........~ r II I I. I. I I' S. J . II, Ai II 0 I. ' Il .1 .... L .. _ .,_....,.,...~......J.. ..... _.~.:.......J....."..... ..' .......... 5OQ.lL1LtuUlY~ OAllCf WIH DAlla-INUit pr8..ir~-;..5}J ""I~" i;':SJlTI:I'fiTiriJ 9?I6.lfi.~~J:T8Ii-i9]i .~] (f N't\CAllllJruMWIluur:.L'iNNol: lUSI".m,NIlYOOU:HTW.l ~..'!~fUWt _.....___. .,. '" ~ .... nus RrnJRH INST DE Jun.. OOPU:A1t WItH TH[ tJ ,LIIl..L__ _., ',..., REGISTER OF WILLS I og 1.0000NlRebJm 0 2.S~Reun 0 3,Ref1\1ndeif\eb.rnI"d_"'bll,"'~ o UkT\IIildEstalll 0 (a.FubJrelnlcrcS\~I"'d""""IlIl<ll 0 5.Foder.llEstalllTIlRcb.rnRcquRd ~ ~ 1XI6,OeclldcntlliodTestalll"""''''''dM) 0 7. lloaldenIMmtailed I lM1g TlUS\""",..,dlMll _ 6. TDt1INU11IbetolSareDcposltao.., u.... ~ D9.UIi;lalionPl1lCIllldsR""""'" 0 10.Spcx&I~Croclill'*d"'_1l11~1"'IHlI 0 1I.ElocOOnblaxundelSoc.911l(A)""",SdoOl !E ml!S~E~XIP~)\llS.:rlO,E~OMP,LETEQ,iAW,~.o~sr.O..N[)e;tI$< '6 Jl:c.9~F.J[)e;tq~\.-,r.~1&..O~ TION .SHOPLD;lIE:D!{{El:TED,TO: 11.I fW.E CCUU1E ~AOOAf$S ~ John II. Broujos, r:squire 4 North lIanover Street f, ""'.....11_1 Carlisle, I'A 17013 " ::! BROUJOS & GILROY. I',C, ~ TUlPtOE NJ.t1(R u 17 2 -, ., )f,; /1/( - '7 .'fI.'J'll/"Ool' REV-1500 INHERITANCE tAX RETURN RESIDENT DECEDENT 12. Net V.lu. of E.ute (Ule 6....'" Lne 11) 13. CharitJbIe and ~talllequcstsroCC9113 Trusts I:nndl an elodion b tal tIIS not been made (Sd1edulc J) !z w o w o w o 4 .' z o j :J f- ii: <( o w ~ 1. Real Estl'" (Sdledute A) 2. ~ and Bends (Sd1edulc B) 3. Cbsely Hell CoIporation.Pa~i> 0< Sole-I'~ 4. ~~39CS & Noles Receivable (SdoC<lule D) 5, Caoh,llJnk Deposit> & MGooll.1n,,"", Pc""",,' Property (Sd1edulcE) 6, JOUlOy o.ncd Property (Sd1edu'" FI 1. InlOr,VNOS Tr.lnsfc" & MGooIl.1nc<M tlon-Proba{. Propctly (Sd1edulcGo<L) 6. ToLlIGro.....mts(lobll.iles 1.1) ~HU!~~~~1-~'-tT.ti~~~~ ~,r~;o.o..'..:...'c-.._.-, "2 1 9 fl I 0 I .~tlUrT1'Crrr':t-...lt1"..... '1~\lJ ~.trr..:..'~ ,.~'...... . ........ ..,~.. ~ 0' . " li-'-TQ\!"O"-O'~'I . ;l(1I'.,.;s".,-.,,1I"'f+C' ....\' ' 2,5'3'08'4'87 . ., , . ,_' '...4.. )...,,,,,,,. "lj' "'-'J: ......,'... . . 1 . '.4 "'-1' . ,...... '~" "'r.:., . , (l) ii ; , ; !:.1 ! 0 ;; 0 0: \~"'~P9rt''\,f.,r~1: ".~ ." -f~!:." (4);' : il: " ,0 ',0 0 ", t . (5) ~t".1~~:...tr;!t1tfi":i:it 8 r i ~ 6.... 8' 2 'l . .. . " .. ~' . 1\1"~'l~~:-;t~"1 ':. .,.. '. (6) ;.; ; ~ ; 1'" 0 .: 0 0 l ~. 1 . ttl\';~kc~:~;1'n.::;..';.. ',:" 1.4:-"..... (1) .,L..; 4-,2: 9 3,0,9 3 _.__,_____. ~ I ,4 0 7 8 3 .. J ...__... (9) If'TIJ}T6"li '2" a"tF' 2"; (10) rl~.rIt"~~' 3'~;'J'~ 0 ' (11) [_L.~j ~.. ", (12) " 3 .l.. :- ~..', . (13) (1) , (2) ~ CH\"V.llt:..' ..:tr., 9. Functal E.tpcnses & Ad_lMl Costs (Sd1edulc H) 10. Debts 01 OcaldenL Mol'oagc U,bo1rtics, & Ucns (Sd1edulc I) It T oLlI Deduction. (1:llaI Ulcs 9 & 10) 2 fl 2 7 3 2 3 ,6 i, 6, 4 . .... ".......:... ",..' .. 7 l;l 8 - 5 . 3 o o o 14. NelV,'ue SubjecllD Tu (Ulc 12m,,,,, Li1e 13) 15 Amluntollnel4taxable I.. ;.; "':/' '" '.-'~ (::1 'Itllespousalturate }L"-....J~..l--:-J~.:~,,,...,.. ~......LJJ X ~..... Soo i1slnJdions on.........ilo lot aPfl6:able ~!:>Jlc 16,Amlunlollne14taxable '0'-' '.7' -"- .~...... ',--'-'1- at 6% rate " .1"};"~~~l,l'.~~,~.~.._.S:~'i~.J"~f:tX.OO 11. Amlunl oIlne 14 taxable . . ., ", a115'4r.1lO ~., .1', l. 7 ",0..,,0 0, 0 (14) t' 3 5 ,4 ", l' 'i- 5 3 :S; _4.... .:1.__ .. ....:.....~.. :_. . .:: . .. . .~.. - 1 -, , (15) ,\ i ,f \!m.~..,-m:.".".'!111\/l(;i.oo;;."'VJ,' , r..fC5r=11t'..~~~~...~ wr; ~i~~ ~t..:~ , (16) j".. ,I. ~,.~ \..2 5 I, 1 2 z o j:; ~i! 1":1 ll. :E o o 16, TIS Duc CHECK HERE IF' YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 2 1 ,2 5 x ,15 '(17) - (181 .1 2 19. X ",,',:";.!/I\tWt'Jr, ;"""::BE;SURE\TQ1l.NSWERip.-LL'I;QUESTlONS:ONIREVI:RSESIDE AND RECHECK MATH < < ,,,0''- lk'dcfpi!NbeSoIp!I'jury.ldoXUreNI~~I~~~~~ rd,~..-wjb""beslr:Jmr~~ td~.lIG M.amda"d~ll! [)cd..nW\olp't(\.'I'f'f~ t.a1"'~""""'~tsbwrt01"'~r:J~~,",has""'~ S'G lURE SOIlRESPONSIBLEFORF IIIQRETURtI ADDRES.~ DATE //. '/.1f ,,1:,(0<-) 1~ . Ift,((lJtl' /I; III I j j.:N :1, tlfFi EROTHER ADDRESS ' t:. ~ D"'TE"I 's '"le,- I.\- \..),~~- ~ '-CN-"'~\~" nc>,)' Decedent's Complete Address: SllOllMnllSS 928 Forbou Hoad OIY Carliulo -t SIAl[ l'A np l70l3 Tax Payments and Credits: I. Tax 1m (Page Ilklo 1 B) 2, CrodilSlPayments A. Spousal Povcfty Crodit O. Prior Payments C. Discoonl (1) 21,251.12 22,000,00 1,062.56 TotaICrodits(A'O.C) (2) 23,062,56 3, Intcresli'f'tNty K ~ D,lnlcresi E. Penaliy TotaIln~(D.E) (3) 4, Kino 21s greatcc Ihan ino I . ine 3, enlcrlho ~crenco. ThIs Is lho OVERPAYMENT, . ' Ched bolon Peg.' Une 19 to requette~nd (4) .1. 811. 44 5. Kino l' ine3lsgrea\crlhan lne 2. eolcflhocflflcrenoo, This Is lho TAX DUE. (5) A. Enlellho Interest on lho lax duo. (SA) 0, Enlellho Iclal oIlklo 5. SA. ThIs Is lho BALANCE DUE. (50) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1, Old decedent make a transfer and: Yas No a, retain the use or Income of the property transferred; ....................................................,.......,181 0 b, retain the right 10 deslgnete who shall use the property transferred pr tts Income; ..............., 0 ~ c, retain a roverslonary Interest; or ..................,..................,....,....................,........,............,......, 0 Ii{] d, receive tho promise for life of either payments, benefits or care? .........,....,......,.....,....,........ 0 ~ 2. IC death occurred on or before December 12, 1982, did decedent within two years preceding deaUt transfer property wiUtoul receiving adequate consideration? IC death occurred after December 12. 1982, did decedenl transfer property within one year of deaUt wilhout receiving adequate consideration? .....,........,..,..............,...........,...............................,..........,....., 0 ~ 3, Did decedent own an "in lJUst for" or payable upon deaUt bank account or security at his or her death? ...........,....,.........,........,..........,....................,..............,.......,........................... 0 [3 4, Did doccdonl own an Individual rotiremenl accoun~ annu~y. or oUter noni'robate property?.... 0 fi(] .::I IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN 72 P ,S, ~9116 (a) (1.1) (i) provided for the reduction of the tax rale Imposed on the nel value of transfers 10 orlor Ute use of the sulViYlng spouse from 6% 10 3% for dates of deaUt on or after July 1. 1994 and before January 1, 1995, 72 P,S, ~9116 (a) (1,1) (in proYlded for the reduction of Ute rale Imposed on the net value of transfers 10 orlor Ute use of the surviving spouse from 3% 1000/0 for dates of death on or after January '. 1995. The statule docs not exemot a transfer to a sUlViYlng spouse from tax. and Ute sta\u1ery requirements for disdosure of assels and filing a tax return are still applicable even If the surviving spouse Is Ute only beneficiary, FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1995. Please answer the following question by placing en "x" In the appropriate space, Old the doccdenl croalo a \nisI or similar arrangemenl which Is eolely for the surviving spouso'e benefit for his or hor enUre lifetime? Yes 0 No ~ IC you answered yes 10 the above question, the tax on Ihe lrust or similar arrangement Is postponed untillhe deaUt of Ute second spouse, al which time it will be fully taxable al the rate(s) applicable 10 the remainder beneficiary(ies). Enter the value of the lrusl on Schedule J, Part II, in order 10 remove ~ from ti" calculation of Ute tax due In Utis estate, You may wish to file Sdledute 0 In order 10 make the election available under SOOion 91 13. If tllO elOOion is made, tile lJUst or similar arrangementls taxed In tile estate of the first decedent spouse, the portion of Ute lJUst or similar arrangement which benefits Ihe surviving spouse Is laxed at tile zero tax rate, and the remainder is taxed 01 the rate(s) applicable to the remainder beneficiary(ies). If you choose 10 make the eloction, you must attach Schedule 0 10 a timely.fiIed tax relum, along with Schodule(s) K and/or M in order to show the apportionment of the lrusl or similar arrangement between Ihe surviving spouse and the remalndor beneficiary(ies). Commonwoalth of Ponnsylvanla Inhorltanco Tax Roturn Rosldont Docodont SCHEDULE B STOCKS AND BONDS Estate of Fllo Numbor J. Harold Phillips 1996-01011 (Property Jolntly-owned with Right of Survivorship must be disclosed on Schedule F) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH $ 240,440.00 1. Stocks Briggs & Stratton Equlfax K.Mart Kollogg Southorn Co, Travelers Trlnova Washington Gas/Light Whitman $ 16,550,00 $ 78,600,00 $ 6,600,00 $ 54,300.00 $ 18,690.00 $ 36,000,00 $ 10,950,00 $ 9,550,00 $ 9,200,00 2, Agway Preferrod Stock 5 shares # 011491 5 shares # 011492 5 shares # 011493 1,500.00 $ 500,00 $ 500,00 $ 500.00 3. Mutual Funds T. Rowo Price Equity Income Fund Value Line Convertible Fund Vanguard Preferred Stock Fund 30,824.98 $ 12,830,87 $11,144,87 $ 6,849,24 TOTAL (Also ontor on line 2, Recapitulation) $ 253,084,87 Commonwealth of Pennsylvania Inheritance Tax Return Resident Decedent SCHEDULE E CASH, BANK DEPOSITS AND MISCEllANEOUS PERSONAL PROPERTY Estate of File Number J. Harold Phillips 1996.01011 (All property Jolnlly-owned with Iho Righi of Survivorship musl bo dlsclosod on Schedulo F) ITEM NUMBER 1. 2. 3. 4. 5, 6. 7. 8. DESCRIPTION VALUE AT DATE OF DEATH 9. 10. 11. 12. 13, 14. 15. 16. 17. 18, Checking Account - Farmers Trust Co. No. 5-23623 Automobile - '89 Mazda 323 Hatchback Certificate of Deposit - Farmers Trust Co. - No. 122087 Certificate of Deposit- Farmers Trust Co. - No. 122088 Certificate of Deposit - Farmers Trust Co. - No. 122089 Certificate of Deposit - Farmers Trust Co, - No. 122072 Certificate of Deposit - Farmers Trust Co. - No, 130052 Agway Money Market Certificates - # FS 1973 # FS 1974 # FX 455 # FY 1255 # lD 1397 Old checking account Thornwald Residence Account - refund Funeral home return Equlfax United Way Church of Christ Homes Agway Redemption - T. Rowe Price Equity Income Redemption - Vanguard Preferred Stock dividends - Kellogg Stock dividends - Trlnova $ 12,438.65 1,500.00 10,540,78 10,540.78 10,540.78 5,080.79 10,010.58 27,840,58 $ 7,066.15 $ 3,533.06 $ 8,239.15 $ 1.601,02 $ 7,401.21 2,722.71 78.09 13,03 198,00 99.37 45.00 12,991.74 6,779.94 336.00 60.00 TOTAL (Also enter on line 5, Recapitulation) $111,816,82 Commonwoalth of Ponnsylvanla Inhorltanco Tax Roturn Rosldont Docodont SCHEDULE H FUNERAL EXPENSES ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES Estato of Fllo Numbor J. Harold Phillips 1996-01011 ITEM NUMBER A, DESCRIPTION AMOUNT Funoral Exponsos 1. (portion propald) Funoral First Prosbytorlan . Church uso Joyco Nolson - Catorlng sorvlce/funoralluncheon 302.61 175,00 302.61 B. Admlnlstratlvo Costs: 1. Porsonal Representative Commissions - Richard D. Hammann Social Security Number of Personal Representative: Year Commissions paid: 1998 20,000.00 2, Attorney Fees: BrouJos & Gilroy, P.C. 4 North Hanover Street, Carlisle, PA 17013 15,000.00 3. Family Exemption *.00 Claimant Relationship Address of Claimant at decedent's death 4, Probate Fees - Register of Wills, Cumberland County, PA 341.00 C. Miscellaneous Expenses: 1. Register of Wills, Cumberland County, PA - Filing Fee for Codicil 13,50 2, Register of Wills, Cumberland County, PA -Inheritance Tax Return 15.00 3. Register of Wills, Cumberland County, PA -Inventory 10.00 4, Register of Wills, Cumberland County, PA - Addt'l Short Certificates 45.00 5, Register of Wills, Cumberland County, PA . Family Settlement Agreement 17.00 6. Cumberland Law Journal - Advertising Fee 60.00 7. The Sentinel - Advertising Fee 0.00 TOTAL (Also enter on line 6, Recapitulation) $ 36,281.72 RECEIVED FROM: 185208 COMMONWEALTH OF PENNSYLVANIA DI'ARTMINT O. RIVINUI OFfiCIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ACN ASSESSMENT P:'I CONTROL ~ NUMBER '*' . . j D No. AA uv.1"'DI'-'~ D AMOUNT 101 !II-=',UUV.vO . JOHN BROUJOS ESQUIRE 4 N HANOVER STREET CARLISLE. PA 17013 ESTATE INFORMATION, ~ FlLE NUMBER li 21-1996-1011 I!:I NAME OF DECEDENT (lAST) ~ PHILLIPS J HAROLD II DATE OF PAYMENT EI POSTMARK lIATE COUNTY SSN 181-05-2445 (FIRST) (Mil CUMBERLAND DATE OF DEATH , , \ \ I \ m TOTAL AMOUNT PAID .3.000.00 PB REMARKS RICHARD 0 HAMMANN C/O JOHN BROUJOS ESQUIRE CHECK II 11 . . , ; /" RECEIVED BY rf' I'.' /'1 '/_:~' . .... <..... ,"):I.II...("L)....t~l../ ,i SIGNAT~R~ . . It.. ',0::7- ~~~'fS~ERL5~1~ILL~. -' !/ i' f SEAL REGISTER OF WILLS .. ___ _ ._..____._ _.___.__ ... ___..____________dO___-...------- f ; .... __u _.._ .~..' ,-<' , ;... " .--. -..,.,.,- 4. - .,':- ! , -;___- ._' '_._'~-----:"eM. ,~ lir: /'/(,.- 7 COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE c... '*' BUREAU OF INOIVIDUAl TAMES IHUlR1IAHC[ TAl( DIVISION (J(PI. laD,.DI HARMISIUIlG, flA 11lla-ahal NOTICE OF INIIERlTANCE TAM APPRAISEHENT, AllOWANCE OR DISAllOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAM ..._1'"11''' ,"."1 JOHN H BROUJOS ESQ BROUJOS & GILROY 4 N HANOVER ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH fILE NUHBER COUNTY ACN 11-22-1999 PHILLIPS 11-29-1996 21 96-1011 CUHBERLAND 101 J H A.aunt R...Uted HAKE CHECK PAYABLE AND REHIT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ Riv :iS4i-EX-AFP-iil'-:99i-ilii'ficr-oF-YtiHEiiii'AiiCE-YAX-WPRAiSEiiiili'-,--ALLOiiAiicE-OJi-------------- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF PHILLIPS J H FILE NO. 21 96-1011 ACN 101 DATE 11-22-1999 TAM RETURN WAS' I I ACCEPTED AS FILED I XI CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Roo1 Estoto ISchodulo Al 2. stocks one! Bonds ISchodulo BI 3. Clo.oly Hold Stock/portoorshlp Intoro.t ISchodulo CI 4. Hortgages/Hote. Receivable (Schedule OJ s. C.sh/Bank Deposlts/Hisc. Personal Property (Schedule E) 6. JointlY awnod Proporty ISchodulo FI 7. Transfe,.s (Schedule G) 8. Total As.et. II) 121 (3) (4) 151 (6) 171 .00 253,084,87 .00 .00 111.816.82 .00 42.930.93 181 HOTE: To insure proper credit to your account, sub. it the upper portion of this fo~ with your tax pay"ant. 407,832.62 APPROVED DEDUCTIONS AND EXEHPTIONS: 36,281. 92 9. F~r.l E)(p.ns.s/A~. Costs/Hisc. Expanses (Schedule H) (9) 10. DObb/Hodgogo lIobll1t1os/llons ISchodulo II nOI 365,40 11. Totol Doductlons 1111 12. Not Volue of Tox Roturn 1121 13, Chorltoblo/Govorn.ontol Boquosts; Non-oloctod 9113 Trust. ISchodulo JI 1131 14. Not Volue of Estoto Subjoct to Tox 1141 NOTE: If an assessment was issued previouslY, lines 14, lS and/or 16, 17 and 18 will reflect figures that include the total of ALL returns sssessed to date. ASSESSHENT OF TAX: 15. Aoaunt of lloo 14 ot Spou.ol roto (15) 16. A.aunt of lloo 14 toxoblo ot lloool/Clos. A roto 1161 17, A.aunt of lloo 14 toxoblo ot Collotorol/Clo.s B roto 1171 18. Principal Tax Due 36."47 3? 371.185.30 5,000.00 366,185.30 .00 M'OO. 366,185.30 M .06. .00 M .15. (18) .00 21,971.12 .00 21.971.12 TAX CREDITS: PAYHENT DATE 02-19-1997 02-27-1997 RECEIPT NIlIIBER AA185185 AAIB5208 DISCOUNT 1+) INTEREST/PEN PAID 1-) 1,000.00 9B,56 AHOUNT PAID 19,000.00 3,000.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN, TOTAL DUE 23,09B.56 1,127.44CR .00 1,127.44CR . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS lESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REflECTED AS A "CREDIT" ICR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I .. RESERYATJOth E.t.t.. of decedent. dying on Dr befor. Dec.-ber 12, 1982 ~- If .ny future Intar..t In the ..tat. I, ttenlfarted In po.....lon or enJoyaent to CI... I Ceol1atara1) ~flcl.rl.. of the deCedent .,t.r the expiration of any ..tet. for 11'. or for y..r., the C~.lth hereby aKPt...lv t...tV.' the right to eppral.. end ...... ttenl'.r JnherJtBnCa TaM.' at the l~ful Cis.' B leol1a.aral) rata on any such future Int.r..t. PIlIll'ClS[lIF MOTlCf:: To fulfill the requlr..ent. of Section 2140 of the JnherltBnCa end E,tata 'aM Act, Act 21 of 1995. 172 P.S. Section ,.,.0). Detach the top portion of this NoUce and aublllt with your pavHflt to the Raglltar of Wills printed on the ravar.. aide. u...... eheck or ~y order payable to: REGISTER OF MILLS, AGENT PAVMEHT: REFUND lCAI: A nfr.nl of . tax cr..:tlt, which .... not nquflltltCl on the 'ax Aeturn, ..Y M tequeltltd by caplaUng ." "Application for R.fund of Pennsvlvanl. Inheritance end Estate Tax- (REV-I]IS). Application. are available at the offlc. of the Real.ter of Will., any of the 23 R.v.nue DI.trlct offlc.., or by calling the .pecl.l Z4-hour an.verlng ..rvlc. nueber. for fora. ord.rlng: In Pennsylvania I-IDD-S6Z-ZD5D, outsld. Penn.vlvanla and within loc.l Harrisburg .r.. (717) 187-S094, TOOl 1-S00-441-S020 (S.rvlc. for t.xpayer' with spacial hearing and .p....lng ne.d.). OBJECTIONS: Any party In Inter..t not .atl.fled with the appr.I....nt, allowance or dl..llowance of deductions, or es..s..ant of tex (Includlra discount or Interest) as shoWn on this Notice .ust obj.ct within .Ixtv (60) day. of rec.lpt of this Notlc. by: .-wrlttan prot.,t to the PA Departaant of R.v.nue, Board of Appaal., O.pt. Z81aZl, HarrisbUrg, PA --election to have the .att.r deteralned at audit of the account of the p.raonal repr..ent.tlv., --appaal to the Orphan.' Court. 171ZS-1021, OR OR Alll4IH lSTRATlVE CORRECTJDHS: Factual .rrors dlscov.r.d on thl. ....s...nt .hould be addre..ed In writing to: PA Dapartaant of Revenue, Bur.au of Indlvlduftl Tax." AT1N1 po.t A......ent Ravlew unit, Dept. ZS0601, Harrl.burg, Pi 171Zs-a601 Phone (717) 181-6505, Sa. page 5 of the bo~let -In.tructlon. for Inheritance T.x Return for a Re.ldant Decedent- IREV-lSOl) for an explanation of adalnl.tratlvelY corr.ctabl. errors. If any tax due I. paid within thr.. (3) cal.ndar aonths aft.r the d.cedent.. d.ath, a flv. percent (5XI dl.count of the tax paid I. allowed. The 15% t.x ....ty non-participation penalty Is cQllPUt.d on the totlll of the ta. and Int.r..t ....ssed, and not paid before January II, 1996, the first dllY IIft.r the .nd of tho tax .-na.ty period. Thl. non-participation penaltv Is appealable In the .... aann.r and In the the s... tlee period a. you would appeal the t.. and Int.r..t that hat bean ....ned a. IndlC8tad on this notice. Inter..t I. charged beginning with flr.t day of d.llnquencv, or nine (91 aonth. .nd ~ el) day fru. the date of death, to tho data of p.p.nt. Taxa. which bec..e delinquent before January 1, 198Z bear Intare.t .t the r.ta of six (!>>X) percent per ennua calcul.t.d lit a dallv rllte of .000164. All taxa. which bec..e delinquent on and aftar J8ftU8ry 1, 19SZ will bear Inter..t at a r.ta which will vary fru. calandar yaar to calendar yaar with that r.t. announcad by the Pi Dapartaent of Rllvenue. The appllcabl. Interest rat.. for 191Z through 1999 ar.: Dlsa:urt: PENAL TV: INTEREST: '!!!!: Intera.t Rat. Dally lntara.t Factor !!!! Inter.st Rate Dally Intan.t Factor 1982 20X ,OOOSltS 1988-1991 IIX .000301 1913 16X .000436 1..2 9X .00aZ47 1984 IIX .000301 1993-1991t n .00019Z 1985 UX .000356 1995-1998 9X .000Z41 1986 lOX .000274 1..9 7X .00019Z 1987 9X .000247 --Intere.t Is c.lculated .. fallowst INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any NotIce I.sued aft.r the tex bacoae. delinquent wIll raflect an Inter_.t calculation to fifteen (1S1 day. beyond the date of the aneuaant. If pa~ant II .ade aftar the Intere.t cDIIPUtaUon date .hown on the Notlc', 8ddltlonal Inter.st BUst be c.lculated. N~I/( - /' BUREAU Of IHDIVlDUAl TAMES UltlAI1AHC[ UX DIVISION DEPt. zaO.'. UARR1SIURO, PI. 11lU.'.') COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* .' ~ In-UII" ,.. ."."1 JOHN H BROUJOS ESQ BROUJOS & GILROV 4 N HANOVER ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-06-1999 PHILLIPS 11-29-1996 21 96-1011 CUMBERLAND 101 J H AIIQunt Re..t U.d MAKE CHECK PAVABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 HOTE: To insure p,..,...r credit to your eccount, subllit the _r portion of this fo... Mith your te. p.y....t, CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ii'Ev.:ii.iij-EX-"FP-Hi',-.:99-,-------...-iNHiiiiTAiic'E-iiiif-si,'jifEilE'tif-oF-ACCOUHf--...--------------------- ESTATE OF PHILLIPS J H FILE NO.21 96-1011 ACN 101 DATE 12-06-1999 THIS STATEHENT IS PROVIDED TO ADVISE Of THE CURREHT STATUS Of THE STATED ACH IH THE HAHED ESTATE. SHOWN BELOW IS A SUHHARY Of THE PRIHCIPAl TAM DUE. APPlICATIOH Of All PAYHENTS, THE CURRENT BAlAHCE, AND. If APPLICABLE, A PROJECTED INTEREST fIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-15-1999 PRINCIPAL TAX DUE, 21,971.12 PAVMENTS (TAX CREDITS): PAVMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (- ) 02-19-1997 AA185185 1,000.00 19,000.00 02-27-1997 AA185208 98.56 3.000.00 11-19-1999 REFUND .00 1,127.44- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 21,971.12 ,00 .00 .00 . If PAID AfTER THIS DATE. SEE REVERSE SIDE fOR CAlCUlATIOH Of ADDITIOHAl INTEREST. I If TOTAL DUE IS lESS THAN SI. ND PAYHENT IS REQUIRED. If TOTAL DUE IS REflECTED AS A "CREDIT" ICRI. YOU HAY BE DUE A REfUND. SEE REVERSE SIDE Of THIS fORK fOR IHSTRUCTIOHS. ) PAMMh Detech the top porUon of thls HoUc. ~ MOtU ..Uh your pav-nt ucM payllbl. to the neM .nd eddra" prlnt.t on the ray.n. side. If RESlDEHT DECEDEHT .... check or ~y order payllbl. tOI REGISTER OF WILLS, AGENT. If HOH-RESlDEHT DECEDENT .... ctwck or ....y orcMr pay8bl. to: CottttQNWEAlTH OF PEHHSVLVANIA. REfUND (CR): A r.ft.nd of a talC credit, lilhlch .... not reque.ted on the TalC Raturn, .ay tM requa.ted by c~I.Ung en -Application for A.fund of pann.ylyanl. Jnharltenc. ~ E.tat. Tax. (REV-IllS). Application. .r. Iyallabl. .t the Office of the Aatl.t.r of Will., any of the 23 RaYenue Dlatrlct Offlca' or froe the Dapartaent'. Z.-hoUr ansvarlna servlca nuabar' for for.. or~rlna: In Pann.ylyanla l.all-36Z-Z151, out.lda Pann.ylvanla ~ ..Ithln local Harrisburg ar.a (717) 787-8'~, TDDI I-S11-4.7-SIZO (Serylc. for talCpayar. ..Ith special hHrlng end speaklna need.). REPLV TOI O.....Uoo. regarding .rron cont.lned on this noUc:e shoUld be itddr...ed to: PA Departaant of Ravenue, Bur."" of Jndlyldual TalCa., ATTH: Po.t A......-nt Aavlaw unit, Dept. Z81601, Harrisburg, PA 17128-1611, phone (7171 787-6515. DISCOUNT: If any tllC due ls peld within thr.. (3) CIIlendllr ItOnth. .tt.r the cMc~t.. death, . flya percent 152:1 dlscQU'\t of the t.lC p.ld I. allowed. PENALTY: The 15% t.1C eana'\Y non-partlclp.tlon panelty I. coaputed on the tot.l of the t.x and Int.r..t ......ed, and not paid before JlnUlry 18, 1996, the flnt daY att.r the end of the t.lC una.ty period. INTEREST: lnt.r..t Is charged beginning ..lth flnt day of ~lf,nquancy, or nine 191 .onth. and one (JI dn froe the data of cM.th, to the data of payaant. Tax" .....Ich bee'" delf,nquent before January 1, 1982 bear Int.rut at the r.t. of .ix 16XI percent per ..",.. calculated at . dally rata of .DDOIM. All \8K" .....Ich bee.a dallnquant on end aftar Jenuarr 1, 1982 ..Ill tMar Inter..t at a rat. which will vary froe calendar yaar to calendar yaar with th.t rat. announced by the PA Depart.ant of Ravenue. The appllcabla Int.re.t rat.. for 198Z through 1999 ar'l Vaar lntar..t Rata Dally lntara.t factor Vaar lntera.t Aat. OaUy lntar..t Factor 1982 .oX .010548 1988-1991 lIX .IDl301 1981 16% .Dl04Ja 1'" 9X .011Z47 19.. lIX .ODl301 1991-1994 rl .GDD19Z 1985 ISX .ODDlS6 1995-1998 9X .GDI2.7 1906 lOX .OaDZ7.. 1.... 7X .01119Z 1987 9X .001247 zlaa ax .ODDU9 .-lnt.rast Is calculated a. follow': IIITEREST = BALANCE OF TAX lllfPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Hot Ice Issued aftar the tax baCOII' delinquent will raflect en Intere.t calculation to fifteen (15) days beYond the data of the ........"t. If payant II uda att.r the Intere.t coaputetlon data shown on the HoUc., eddlUonal Int.ra.t MI.t be calculated. r .. I -)-.- i'I (, $u r(lJ" ..",,^~ (\ I t REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT ~'1'\Dfl.,l"1 .9~t. COMI.IOIM~;SYlV'JM IllPARTW:NT ()( REVn'UE OCPI 18Cio01 BARRI R RG PA m1a(l6()1 ()(CUX:HTS NNJE {lAST,flJlSl,UlJt.llOOl[ IHITIAlIIIW ,tIIri l*xl b"'....,arlh ~ "~:l U"U "00 "'0:-' U..lIl ~ Ii: .. o z ~ " .. 0: 0: o U FUNUlllVl 29(, roMrYCOO{ 'lT~ () .... I- Z W C W U W C .I, 1\ ^ 1\ () I. Il l' S l' II 1 L L OAll or IJIR1H OAlt.OfOlAIH socw. M.C~ln N..N8lR () / 2 8/1 9 02 1/ 2 9 / I 9 9 (, 1 8 1- 0 5- 2 4 4 5 THIS RETURN II1JST BE fUD IN DUPLICATE WllH TIlE REGISTER OF WILLS (If Am.ICABUISl.JRVl"MGSPOUS('SNNJ((\.AST,fIMST,NtJ...OOlENT1AI.I SOC1ALSEWUTYtu.lfl[R 010rginalRelum t:i!l2.SupplemenIaIRelum 03RemaindOlReluml......."",.Il,..n o (Liml\edE.late 04a,futurelntereslcompromose,..........Il.llIn 05,FederalE.lateTIlRelllmRequired o 6 Oea!<IenlDoed Teslale,""'..,.W<<l 0 7. Oea!<IentMa"la1l1Od a LiY1r9 Tru.II""''''.'Mll - B. Tolal Number 01 Safe Oepos~Bole. o 9, LitigalJonProcee<I' ReceNed 010. Spousal poyertyCred~I......._",",""""9" 0 11. EIettion III III under Sec. 9113(A)\AU<'''^o, THIS SECTION MUST SE COMPLETEO. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD SE DIRECTED TO: tWJE CCJ,4F'\rTELWLlNG.lOOfl.ESS John II, Broujos. Esquire 4 N. lIanover Street '\RJlHAAE ~_..., Carlisle, P^ 17013 BROUJOS & GILROY. P.C. lElEPHClNE tUlBER 717 243-4574 1 Real E.lale (Schedule A) 2 SIOcI<s and Bond. (Schedule B) (1) (2) 2 5 3 o 8 4. 8 7 3 CIose~ Held CorporaIJon.P.r1tIership or SoIe-Prop<ieloBhip (3) z o 3 ::J l- ii: < u W 0: 4, Morlgages & NOles Receivable (Schedule D) 5 Cash. Bank OeposltS & Mosall1aneou. Personal Property (Schedule E) 6 Joonlly CNmed Property (Schedule F) 7 Inler-V1V05 Tran.'e" & t.\Jscel1aneou. Non,Probale Property (Schedule G or L) B T oUI Gro.. A."t.{IOlallines 1.71 (4) (5) (6) (7) 4 2 9 3 O. 9 3 (B) I 4 0 7, 8 3 2. 6 2 6,281.72 ,3 6 5, 4 0 , 1 I 1 ,8 1 6. 8 2 9 Funeral E.pen... & Adrmn.lralrie COSIs (Schedule H) (91 \0 Oeb\> of DecedenL lo'MJage L~bil,oo,. & Liens (Schedule I) (101 1 6, 6 4 7. 1 2 3 9 I, 1 8 5. 5 0 5, 0 0 O. 0 0 3 8 6, 1 8 5. 5 0 11. T oUI Deductions (tolalL"es 9 & 10) (11) (12) (13) 12 Nel Vllue 01 E.Ute (Line B minus L"e II) 13, Chantable and Govemmenlal Bequesls1Sec 91 13 Tru.ls for which an election 10 lax has not been made (Schedule J) 14. Nel Vllue Subject'o Tn (Line 12 m"u. Line 13) (141 15, Amount of ~ne 141a..ble Z .llIle .pousal tal rale , , X .0 (15) 0 See 1n.1IucIion. on reve'" side lor applicable pertenlage !=; 16, Amounlolline 141a..ble ~~ al6"!.ra'e , 3 8 6, I 8 5, 5 0 x ,06 (161 I-'::l 17. Amounl 0line14 talable Q. x .15 (17) ~ al15%rale 0 U lB Tax Due (IB) 19, 2 3, 1 7 1, 1 3 2 3 I 1 7 1, 1 3 DATE 'i~II.4.," //(I.)' i/l/D6 ') DATE ~\~~ ~c., lle\~ ,-3-0-:' - Decedent's Complete Address: SIRICI A1)()1U~.S I j 92H ForhcH Hoad CJIY ~P^ I {,,, . 17013 CarllHlc Tax Payments and Credits: 1 Tax Duo (Page 1 Une 18) 2 Crod,tslPaymenls A Spousal Povony Crod,1 8 PlIor Payments C D,scounl (1) 23.171.13 n.OOO.Oll I ,ll9H,5h T 01.11 Crf'(1,ls I A . R , C ) (2} 23,09H.5h 3, InteresUPenally if applicable D Inlerest E, Penally TOlallnlorosVPonally (D' E) (3) 4, II hne 2 is greaterthan line 1 + hne 3, enler Ihe d,lforence Th,s 's Iho OVERP,l\ YMF.NT, Check box on Pagal Line 19to request a rafund (4) 5, If hne 1 + I,no 3 is greaterthan line 2, enlerlhe d,lference Th,s IS Iho TAX DUE, (5) 72.57 Hettlrn of 12/01 reftlnd rccelvlo'tl 1.127,44 A, Enler Ihe inleresl on Iho lax due, loA] 8. Enler Ihe lotal of Une 5 + 5A, This is Ihe BALANCE DUE, (581 1 ,200.0 I Make Check Parable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING OUF.STlONS BY PLACING AN "X"IN THF. APPROPRIATE AI.OCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ....,......... '................................, ~ 0 b. retain the right to designate who shall use the property transferred or its income; ................ 0 0 c, retain a reversionary Interest; or..................,..,..........,..........,.... ................... .....................0 I21l d. receive the promise for life of either payments, benefits or care? .........................................0 IKl 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequale consideration? If dealh occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................,',.,',..,.."........,......,................... 0 ~ 3. Did decedent own an .in trust for" or payable upon dealh bank accounl or security at his or her death? .........,.....,.................... ,..,..,....'.. ,......,...., ,....,.....,...,..............,.. 0 0 4. Did decedent own an individual retirement account, annuity, or olhor non.probato property?.... 0 Iia . .: . ,'." !~ IF THE ANSWER TO ANY OF THE ABOVE aUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THF. RETURN - - -~":ft~:~:~; 72 P.S, ~9116 (a) (1.1) (i) provided for the reduction of the tax rale imposed on the net value of transfers to or for the use of the surviving spouse from 6% to 3% for dates of death on or after July 1, 1994 and before January 1, 1995. 72 P.S, ~9116 (a) (1.1) (ii) provided for the reduction of the rate imposed on the net value of transfers to or for the use of the surviving spouse from 3% to 0% for dates of death on or after January 1, 1995. The statute does not ex"-mpt a transfer to a surviving spouse from tax, and the statulory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the onty beneficiary. FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1995. Please answer the following question by placing an .x' In the appropriate space. Old the decedent create a trust or similar arrangement which Is solely for the surviving spouse's benofit for his or her entire lifetime? Yes 0 No ~ If you answered yes to the above question, the tax on the trust or similar arrangement is postponed until the death of the second spouse, at which time it will be fully taxable at the rate(s) applicable to the remainder bcncflciary(ics), Enlor the value of the trust o~ Schedule J, Part II, In order to remove it from the calculation of the tax due in Ihis estate, You may wish to file Schedule 0 in ordor to make the etection available under Section 91 13, If the election is made, the trust or simitar arrangement is taxed in the eslate oflhe first decedent spouse, the portion of the trust or similar arrangemenl which benefits the surviving spouse is taxed at the zero tax rate, and the remainder is taxed at the rale(s) applicabte 10 the remainder beneficiary(ies) If you choose to make the election, you must attach Schedule 0 to a timely.fiIed tax return, along with Schedule(s) K andlor M in order to show the apportionment of the trust or similar arrangement between the surviving spouse and the remainder beneficiary(ies) -. ,- '''". SUPPLEMENTAL RETURN SCHEDULE H FUNERAL EXPENSES ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES Commonwealth of Pennsylvania Inheritance Tax Return Resident Decedent Estate of File Number J, Harold Phillips 1996.01011 ITEM NUMBER DESCRIPTION AMOUNT A. Funeral Expenses 1. (portion prepaid) Funeral First Presbyterian - Church use Joyce Nelson - Catering selVlce/funeralluncheon 302,61 175.00 302.61 B. Administrative Costs: 1. Personal Representative Commissions - Richard D. Hammann Social Security Number of Personal Representative: Year Commissions paid: -0- 2. Attorney Fees: Broujos & Gilroy, P.C. 4 North Hanover Street, Carlisle, PA 17013 15,000.00 3. Family Exemption *.00 Claimant Relationship Address of Claimant at decedent's death 4. Probate Fees - Register of Wills, Cumberland County, PA 341.00 C. Miscellaneous Expenses: 1. Register of Wills, Cumberland County, PA - Filing Fee for Codicil 13,50 2. Register of Wills, Cumberland County, PA -Inheritance Tax Return 15.00 3. Register of Wills, Cumberland County, PA -Inventory 10.00 4. Register of Wills, Cumberland County, PA - Addt'l Short Certificates 45,00 5, Register of Wills, Cumberland County, PA - Family Settlement Agreement 17.00 6. Cumberland law Journal - Advertising Fee 60.00 7. The Sentinel - Advertising Fee 0.00 TOTAL (Also enter on line 6, Recapitulation) $16,281.72 JOIIN II, Illl0UJOS (tuIlER! X, GII.IlOY BROUJOS & GILROY, P.c. ArroHNns AI" I.Aw 4 NORTIII IANOVEll STllI'I'! CAHI.ISI.I',I'ENNSYI.V,\NIA 17U13 717-243-4574 FAX: 717-243-8227 NON-TOI.L mOM J-1AHRISIlURG AREA: 717-766.1690 ..-mail: jbruujos@broujosgilrlly.com hgllroy@broujosgilroy,com February 4, 2003 Bureau of Individual Taxes Inheritance Tax Division Dept. 28060 I Harrisburg, PA 17128-0601 Re: Estate of J, Harold Phillips; File No, 21-96-1011; Sept 3,1999 Dear Bureau: A mistake was made in entering on Schedule H the amount of $20,000 for the personal representative commission. Fn"'osl'c1 is a Supplemental Inheritance Tax Return dated February 3,2003, with a deletion of the commission, which was never paid to the executor. This results in a reduction of expenses under Schedule H, an increase in net value, and an increase in tax, in the amount of $1 ,200,0 I. On page 2 under Tax Payments and Credits, we have listed the prior payment and discount. The tax due is $72.57. We are returning the earlier refund of$l, 127.44 for a balance due of$I,200.0I. Check is I'n"'n~I'c1. Please advise directly at my mailing address if there are any modifications or corrections, I will await the usual Notice of Assessment of Tax with a zero balance so we can close this estate. Thank you. ~;~~YYO"':'l r'/ L;L~\y) t) J6hn H. Broujos Ijs BUREAU OF INOIVIOUAL TAXES INI~~t'ANC[ lAX DIVISION .. DEPt. nOllo' UAAAISIURG, PA 17U8-0LOI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR OISALLOWANCE OF DEDUCTIDNS AND ASSESSHENT DF TAX .n.I'"II II' 111.111 JOHN H BROUJOS Esa BROUJOS & GILROY 4 N HANOVER ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-03-2003 PHILLIPS 11-29-1996 21 96-1011 CUMBERLAND 101 Amount Re"itted J MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV:is4i-EX-Aj:P--ioFii3Y-iioTicE--OF--fNHERi;:AtiCE-TAin~-piiiiAisEHEiii'",--ALLow;iticE-oli----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX J H FILE NO. 21 96-1011 ACN 101 ESTATE OF PHILLIPS DATE 03-03-2003 ATTACHED NOTICE TAX RETURN WAS: I ) ACCEPTED AS FILED I X 1 CHANGED SEE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN NO. 01 1. Rool E.t.t. ISch.dul. A) III 2. Stocks and Bonds (Schedule OJ 12>> 3. Closely Hald stock/Partnership Intarest (Schedule C) (3) 4. Hortg.ges/Hotas Aacalvable (Schedule OJ (4) S. Cash/Bank OaposltsJHlsc. Parsonal Property (Schedule EJ IS) 6. Jointly Owned Property (Schedule f) (6) 7. Transfers (Schedule GJ (7) 8. Total Assats .00 HOTE: To Insure proper . 00 cradl t to your account I . 00 sub.it the upper portion .00 of this for.. with your . 00 tax paYllent. ,00 .00 IB) . DO APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H) (9) 10. Debts/Hortgege Liabilities/Liens (Schedule I) 110) 11. Total Deductions 12. Het Valua of Tax Return 13. Charitable/Governllental Bequests; Non-elactad 9113 Trusts ISchedule J) 14. Net Value of Estate Subject to T8x .00 ,DO Ill) I1Z) 1131 1141 00 .00 .00 366,185.30 If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL rsturns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15' 16. Allount of Lin. 14 taxable at Lineal/Class A rate (16' 17, A~ount of Lin. 14 .t Sibling r.t. 117) 18. Allount of Lin. 14 taxable at Collateral/Class 8 rate 118) 19. Principal Tax DUB NOTE: .00 X DO : 366,185,30 X 06 : .00 X 00 : ,DO X 15 : ,00 21,971.12 .00 .00 21.971.12 1191: NUHBER AA185185 AA185208 REFUND CD002121 INTEREST/PEN PAID I-I 1,000,00 98.56 .00 ,00 AHOUNT PAID 19,000.00 3,000.00 1,127,44- 1,200,01 DATE 02-19-1997 02-27-1997 11-19-1999 02-04-2003 23,171.13 1,200.01CR ,00 l,200.01CR TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN, TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TDTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REflECTED AS A "CREDIT" (CR I, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIDNS.) H RESERVATJDNs Est.t.. of dlcldlnt. dying on or b.for. O.c..blr ll, 1981 ~~ If .ny future Int.r..t In the I.tat. I. tran.f.rrld In po.....lon or ,"Joy..nt to Cia.. a (collat.rall bln.flelarl.. of tha d.cedlnt aftlr the ..plratlon of any ..tat. 'or 11'1 or 'or Ylar., the Co..onw..lth h.reby ..pr...1Y r...rve. the right to appral.e and "'1" tran.f.r Inh.rltanca Tlxl' at U,. la",'ul Cia.. I (coUatanll rllt. on BOy .uch future Int.rast. PURPOSE OF HOTlCEs To fulfill tha r.qulr...nt. of Slctlon ll40 of tha Jnherltanc. end Estate Tax Act, Act lS 0' ZOOO. (7Z P.S. SICtlon 91401. PAYJtENTI aatach the top portion of thl. Notlc. and .ub.lt with your paYllnt to the Ragl.t.r of Will. prlntad on tha ravlr.. .Idl, ""aka ch.ck or .onay ord.r payable to: REGISTER Of MILLS, AGENT REfUND (CAll . r.fund of . t.~ cr.dlt, which wa. not rlqul.tad on the Ta. R.turn, .av b. rlqua.tad bv coaplatlng an "Application for Rlfund of Pannsvlvanla Inh.rltanca and Estat. Ta~" IREV~IS1SI. Applications ar. avalleble at tha Dfflc. of thl R.glstat of Wills, any of thl lS AavanuI nlstrlct offlca., or bv calling tha special l4-hour answlrlng Slrvlcl for forls orderlngl 1-800-S6Z~Z050, sarvlce. for ta.paVlr. with ,plcl.1 h.arlng and I or sp.aklng nlads: l-aOO.447-S0Z0 (TT onlyl, oaA:CTlDHSs Any perty In Intar..t not .atl.fled with tha appralsa.ant, allowanc., or dl.allowanc. of daductlon., or a...s...nt of tl~ (Including discount or Int.r..tl a. shown on this Notlc. au.t obJact within sl~tv (60) days of rlc.lpt of this Notlc. by: ..wrltt.n protist to the PA D.parta.nt of Rav.nu., !oard of App.als, Dapt. l810ZI, Harrisburg, PA ...llctlon to havI thl .att.r dat.raln.d at audit of the account of the parsonal rapr.sentatlve, ..epp.al to thl Orphan.' Court. 171l8-IOll, OR OR AOKIN. ISlRATlVE CORRECTJONS: Factual Irrors dl.cov.r.d on thl. as...s.ant should b. addra.sad In writing tal PA D.partaant of R.v.nu., aur.au of Jndlvldual Ta.e., AlTNs po.t As.esSlant R.vllw Unit, Dapt. l80601, Harrl,burg, PA 171Z8-0601 Phon. (717) 787.6505. S.. pag. 5 of th. book lIt "In.tructlon. for Inhlrltancl la~ Roturn for a AI.ldant nlcad.nt" (REV.1S01) for an ..planatlon of adalnlstratlv.ly correctabl. .rror.. DISCOUNTs Jf any tl~ due I. paid within thr.. (S) callndar .onth. aftar the dlc.d.nt'. d.ath, a flva porc.nt 15XI dl.count of the ta~ paid I. allow.d. PENALTY: T~ 15% ta~ aano.ty non-plrtlclpatlon penalty Is coaputad on the total of tha ta. and Intar..t a...ss.d, and not paid b.fore January 18, 1996, the flr.t day aftar the .nd of tho ta. a.no.ty p.riod, Thl. non.partlclpatlon p.nalty Is appaallbl. In thl .... lannar and In the tho seao tl.. plriod I' you would app..l the ta. and Inter.st that ha. baon ..s....d as Indlcatld on thl. notlc.. INTEREST. Int.rl.t Is charg.d big Inning with first day of delinqu.ncy, or nine (91 aonth. and on. (I) day froa tha data of death, to the data of pe~'lnt, Ta.as which b.caaa d.llnqu.nt bl'ora January I, 198Z b.ar Intaro.t at tho rat. of sl~ C6XI perc.nt p.r anno. calculatod at a dally rate of .000164. All ta.ls which baca.a d.llnquent on and after January I, 198Z will bear Int.r.st at a ratl which will vary froa cal.ndar y.ar to cal.ndar y.ar with that rate announc.d by the PA napart..nt of A.vonua, Tho appllcabl. Int.ra.t rat.. for 198Z through ZOOS .ra: Jnter..t Oally Intornt D.lly Jnternt ~~ Ya.r ~~!.!!!"~ Vaar DailY ~ 1982 ZOlC ,000548 1987 .~ ,OOOZ47 1999 7~ .OD019Z 1985 I.~ .000458 1988-1991 llZ .000501 lOOO .~ .000Z19 1984 II~ ,OooSDI 1991 .~ .000Z41 ZOOI .~ .OOOZ47 1985 13~ .000356 19'15.1994 7> ,OOOl9Z ZOOZ .~ ,000164 1986 lOX .000ll4 1995-1998 .~ ,OOOZ47 ZOU OX .0001S7 ..Interast Is calculat.d a. 'ollow'l INTEREST = BALANCE OF TAX UNPAIO X NU"DER OF OAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Notlc. l.su8d aft.r thl t.~ b.co.a. delinquent will r.flact an Intere.t calculation to flft.en (15) davs b.yond the datI of tha a.s....ent. 1# paYlant I. aade .fter the Int.re.t co.putatlon data shown on the Notlcl, additional Intar.st au.t be celculat.d. BUREAU OF INDIVIDUAL TAXES INHERITANCE UM DIVISION D(pr. llIabOl IURRISIURC, PA 17128-0bOI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOHN H BROUJOS ESQ BROUJOS 8 GILROY 4 N HANOVER ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-28-2003 PHILLIPS 11-29-1996 21 96-1011 CUMBERLAND 101 Anount Ren! Uad * IIW.lltI (I,,, III-lit J H MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HDUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your 8Ccount, subnit the Upper portion of this forn with your tax paynent. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V=iSiij-Ejf-AFP--ioi-:03'------.ii-iNiiERi-iANC-i-YAj(-REc:ORD--AOj-USTH-iNT-ii.----------------------------- ESTATE OF PHILLIPS J H FILE NO. 21 96-1011 ACN 101 ADJUSTMENT BASED DN: VALUE OF ESTATE: ADMINISTRATIVE CORRECTION 1. R..l Est.t. (Sch.dul. Al 2. stocks and Bonds (Schedule BJ 3. Closely Held stock/Partnership Interest (Schadul. CJ 4. Hartg.gas/Notas Recelvabl. (Schedule OJ 5. Cash/Bank Deposits/Hlsc. Parsonal Property (Schedule EJ 6. Jointly Owned Property (Schedule fJ 7. Transfers (Schedule GJ 8. Total Assets DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expanses/Adninlstratlve Costsl Hisc81laneous Expenses (Schedule H) Debts/Hortgage Liabilities/liens (Schedule IJ Total Deductions Net Value of rax Return Charitable/Governnental aeqUests; Non-elected 9113 Trusts Net Value of Est.t. Subject to Tax 10. 11, 12. 13. 14. TAX: 15. Amount of line 14 at Spousal rat. 16. Anount of Line 14 taxabl. at lineal/Class A rate 17. Amount of line 14 at Sibling rate 18. Amount of line 14 taxable at Colleteral/Class Brat. 19. Principal Tax Due AX CREDITS: DATE 02-19-1997 02-27-1997 11-19-1999 02-04-2003 BALANCE OF UNPAID HUHBER AA185185 AA185208 REFUND CD00212I INTEREST/PENALTY AS INTEREST/PEN PAID (-I I,OOO.OD 157.89 .00 59,33- OF 02-05-2003 · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION DF ADDITIDNAL INTEREST. III (21 (31 (41 (51 (61 (71 ,DO 253.084,87 ,DO ,DO 111.816,82 .00 42.930,93 (81 DATE 02-28-2003 (91 1101 16,281,72 365.40 1111 1121 1131 1141 407,832.62 16.647.12 391.185,50 5,000.00 386.185.50 ,DO 23.171.13 ,00 ,DO 23.171.13 23 171.13 ,DO 220,31 220,31 IF TDTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TDTAL DUE IS REflECTED AS A "CREDIT" (CRI, YDU MAY BE DUE A REFUND. SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIDNS,I (Schedule J) ll51 . DO X DO = ll61 386 .185,50 X 06 = ll71 ,00 X DO = ll81 ,00 X 15 = 1191 AHOUNT PAID 19,000.00 3,000.00 1,127.44- 1 200,01 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE , PA\1tENTI aetach the top portion of thl, Hatle. and lubalt with your pay..nt ..da payable to thl n... and addr..' printed on thl raver.. ,Ida. __ HIke check or lIDMY order plyable tal REGISTER OF WILLS, AGENT. REfUND ICR)I A r.fund of . ta. credit, which WI' not raqua.tad on the ta. Return, ..y ba raqua.tad by co~l.tlnD an "application for Refund of Pennsvlvanl. Inheritance and Est.t. 'a." CREV~l]I]I. Application. .t. avalllble at the Office a. the Aeglstar of Willi, any of the 23 Ravenue District Offlc.. or fro. thl Depart..nt"l Z4~hour answ.rlna .srvlce for 'or.. orderlngt l-aOO-36Z-ZDSO, ..rvlc.' for ta.plyat. with spacial h..rlng and I or Ipa.dng n..dll 1.SOO-,....7..saZD en onlY). REPLY TD. Qua.tlonl ragardlng .ttor. contalnad on this notice should ba addr.ss.d tal PA nepart.ent of Revenu., Bur..U of Jndlvldu.1 T...., ATTH1 Pa.t A..e....nt Ravlew Unit, Dept. Z80601, Harrisburg, PA 17128-0601, phone l717) 787-650S. OJSCOUHT ! Jf .ny tex dug I. p.ld wl~ln thr.. lS) cal.nd.r .onths aft.r the decedant"s death, a flv. parcant ISX) dl.caunt of ~. tax paid I. allowed. PENALTY I Tha ISX taM aan.stv nan-participation pen.lty Is ca.putad an ~a total of tha tax and Intar..t aSlassed, and not paid bafor. January 18, 1996, tha flr.t day aft.r the .nd at the tax ..na.ty p.rlad. INTEREST! Jntere.t 1. chargad b.glnnlng with flr.t d.y of dellnqu.ncy or nln. (9) .anth. and ona 11) d.y fraa tha d.t. of d..~ to ~. d.ta of pay.ant, Tax.' which b.c... d.llnqu.nt b.fara January 1, 1982 b.er Int.ra.t at tha rat. of .1. (6X) pare.nt par annu. calculated at a dally rat. of ,00016'. All ta..' which b.ca.. dallnquant on and aft.r January 1, 1982 will baar int.r..t at a rat. which will very fraa calandar y.ar to calandar yaar with that rat. announced by tha PA Oapart..nt of R.vanu.. Th. .ppllcabl. Intar..t ratas far 198Z through 2005 ar.l Intarast O.l1y Jntarnt Oally Int.ra.t Oally Yaer Rata Factor Vaar Reta ractar y..r Rata ractor - - - - 1982 zOX ,0005'8 1987 .~ ,0002" 1999 7X .000192 1985 16X ,000'38 19118-1991 11~ ,ooOSOI ZOOo .~ .000219 1984 11~ .000301 199Z .~ ,000247 ZOOI .~ ,0002" 1985 U~ .00OSS6 1995-1994 7X .00019Z ZOOZ .~ .000164 1986 I'~ .00027' 1995-1998 .~ .000247 zoOS S~ .ODDIS7 --Intara.t I. calculat.d .. follow'! INTEREST = BALANCE DF TAX UNPAID X NUNBER DF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Natlca Is.uad .ftar the taM baca.es dalln~.nt will reflect an Inter.st calculation to flft.an 115) day. b.vond the data of the ........nt. If pay..nt Is aada after the Intarast co.putatlon data shawn an th8 Hatlca, additional Intara.t au.t ba calculatad, h~..t"'''1'!> ~. , PAVHEHh Detech the top portIon of thl. Hotlc. and .ub.lt with your pay..nt .ad. payabl. to the na.. and addre.. prInted on th. nv.r.. .Ia. If RESIDENT DECEDENT .ake check or .oney order payabl. to: REGISTER OF WILLS, AGENT. If NOH-RESIDENT DECEO[HT .ake check or .on.y ordu payable tOl COHHONWEAL TH OF PENNSVLVANIA. REFUND (CRI. A refund of a ta~ cr.dlt, which wa. not r.que.t.d on the Ta. Return, .ay be r.que.ted by co~l.tlng an -ApplIcation for R.fund of Penn.ylvanla Inh.rltanc. and E.tat. Tax" (REV-1313). Applications .r. avallabl. at the Off Ie. of the Reglst.r of Wills, any of the Z3 R.venue DI.trlct Offlc.. or froe the Depart.ent.. Z~-hour answering .ervlce for fora. ord.rlng. l-aOO-36Z-Z050J ..rvlc.s for taxpayer. with sp.clal haarlng and I or .peaklng need.1 l-aOO-4~7-30Z0 CTT onlyl. REPLV TO: au.stlon. r.gardlng .rror. cont.ln.d on this notlca .hould b. addre...d tal PA Depart..nt of R.vanue, Bur.au of Individual Taxe., ATTHI Post A.......nt Review Unit, D.pt. 280601, Harrisburg, PA 17IZ8-0601, phone C717J 787-6505. DISCOUNT I If any tax due I. paid within three C31 cal.ndar aonth. after the decedent', death, a five p.rcent (5~J dllcount of the tax paId I. allowed. PENALTY I The Is~ tax aan..ty non-particIpation penalty I. co.putad on the total of the tax and Int.r.st a,s....d, and not paid b.for. January la, 1996, the first day aft.r the .nd of the tax ..n.sty periOd. INTEREST. Inter..t I. Charged b.glnnlng with flr.t day of delinquency, or nln. (9J aonth. and on. CIJ day froa the date of death, to the date of pay..nt. T.... whIch bec..e delinquent before January I, 198Z bear Intere.t at the rate of ,I~ C6XJ percent p.r annua calculated at a dally rat. of .00016~. All ta~o. which b.ca.e d.llnquent on and after January I, 198Z will bear Int.re.t at a rate which will vary froa calendar y.ar to cal.ndar year with that rate announc.d by the PA Dapart.ent of Revenue. Th. appllcabla Intare.t rate, for 198Z through Z003 ar.: Intere.t Dally Interest Dally Int. rest Oalh V.ar Rate Fector V.ar Rate Factor Vear Rate Fector 198Z zn .000548 1987 O~ .000Z~7 1999 n .00019l 1983 I.~ .000438 1988-1991 IU .000301 lOOO .~ ,000Z19 1984 IU .000301 199Z OX .000l47 lOOI O~ .000Z47 1985 U~ .000356 1993-1994 7X .00019Z ZOOZ .~ .000164 1986 lD~ .000Z7~ 1995-1998 O~ .000tU tOD3 S~ .000137 -.Intar..t II calculated a. folloWI' INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTDR --Any Notlca I.sued aftar the ta~ baeo.a, d.llnquent will r.fl.ct an Intere.t calculation to flft..n (151 days b.yond the data of the a".I..ent. If pey.ent I. .ad. after the Intar.st co.putatlon date shown on the Hotle., additional Inter..t au,t ba calculat.d. , . -- . -' -. .- .......-...- . .. - '. - <. - - - - - - - - - - - - - - - - - - - - - .~ PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TO THE REGISTER OF WILLS LISTED BELOW ESTATE OF PHILLIPS J H FILE NO/SSN 21 96-10ll COUNTY CUMBERLAND DATE OF ASSESSMENT 02-27-2003 ACN l01 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 I '1/.. 9{,-IOII ~ fh ~...."''''''..../,.''. " ., , I ,t (- .' d. . -""J ;. ..... I~' f .:~~:') -. . ~' \ , ... .,,' Cl . r.; \ .1 't':~ . . ;".f /~ . . . . . .. " f t " ,. 'I , t~' ..:;. ,t i" f \, " :', - ~. :" ,1 .- "- .._- ~~--..... '...... .. '''I-~ ._311" t.. - ~. --..- .---- . .. . / STATUS REPO/lT UNDER RULE 6.12 Name of Decedent: :r J./"ro/./ (>h://,I'!> . Date of Death: /1':l'1- 'It., Will No, Admin. No, /'l~r;, - 0(01( 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: l. State whether administration of the estate ls complete: Yes No X 2. I f the answer is No, state when the personal representative reasonably believes that the adminlstration will be complete: 2. ",n~f1G 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 b. The sepa rilte Orphans' Cuurt 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 receipt, approvals of formal or informal accou Cerk of the Orphans' Court and may be Date: (I. Z-ft-oo '- .:Tof..~ II e, ,;u.,jcs Name (Please type or print) YAf. Address f/d" OV f', 51. C",-/'-s{e-- , (717 ) ;, V J ,- If ~- 7'1 Tel. No. (MAH:rmf/AM3) Capacity: Personal Representative X Counsel for personal representative E -" STATUS REPORT UNDER RULE 6.12 Name of Decedent: :r: fl,:r C /.f t /., II. (':> Date of Death: 1/ - :l 1- (fto Will No. Admin. No. /9'/t:. . <)/01/ 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 No./ state when the personal that the administration will be 2. If the answer is No, representati~~~easo~ably believes complete: ~ ' '2.0 .~P 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 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 acco nts may be fkl with the Cerk of the Orphans' Court and may be att rr~~o t is ort, , Date: ,. 18 -Or) ... ,~ ;:["" /11'\ H, () r c ,< ".!. C s. "ir~ (Please type or prin ) '/ AI, f/a'tu>'u St. C"r(.-dc-_ Address _( '1/11 J 'no '1')7'-1 Tel. No. Capacity: Personal Representative ~ Counsel for personal representative ..... ....1: (H.AH: rmf/AM3) CumberlLlnd County - RegioteL- Of Willu lIL1nove L" LInd II igh St wet CLlrlillle, P^ 17013 Phone: (717) ;!'10-G3'15 Date: 10/08/2002 RICHARD 0 HAMMANN 928 FORBES RD CARLISLE, PA 17013 RE: Estate of PHILLIPS J HAROLD File Number: 1996-01011 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 11/29/2002 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~)JJ.&?~ ~~j/~v MARY C. LENIS pl<U( ~ REGISTER OF WILLS cc: /File Counsel Judge 09043402062003 Cumberland County - Register Of Wills ROW621 File No 1996-01011 PA File No Decedent PHILLIPS J HAROLD P'lge 1 2{06/2003 2196-01011 Docket Entries D/E Date No. Filed 001 12/05/96 PETITION FOR PROBATE AND GRANT OF OATH OF PERSONAL REPRESENTATIVE CODICIL DEATH CERTIFICATE LETTERS TESTAMENTARY 002 12/09/96 DECREE OF PROBATE AND GRANT OF LETTERS TESTAMENTARY 003 02/07/97 CERTIFICATION OF NOTICE UNDER RULE 5.6(A) 004 02/19/97 INHERITANCE TAX PYMT PAID - 196000.00 ACN - 101 JOHN H BR UJOS ESQ RECEIPT - 0185185 005 02/19/96 INVENTORY 006 02/27/97 INHERITANCE TAX PYMT PAID - 3 000.00 ACN - 101 RECEIPT - 0185208 JOHN BROUJOS ESQUIRE 007 09/07/99 INHERITANCE TAX RETURN - DOCKET 16 PAGE 146 LINE 7 008 09/07/99 STATUS REPORT 6.12 INCOMPLETE 010 12/21/99 REV 1547 NOTICE INH TAX APPRAISEMENT ACN 101 SEE INHERITANCE TAX EXPLANATION OF CHANGES Docket: 15 Book: Page: 7.00 REV 1607 INH TAX STATEMENT OF ACCT ACN 101 TAX DKT 15 PAGE 146 LINE 7 009 11/30/99 011 01/18/00 STATUS REPORT 6.12 INCOMPLETE 012 11/28/00 INCOMPLETE STATUS REPORT 6.12 013 02/04/03 FAMILY SETTLEMENT AGREEMENT 014 02/04/03 SUPPLEMENTAL INH TAX RETURN TAX DKT 15 PAGE 146 LINE 7 015 02/04/03 INHERITANCE TAX PYMT PAID - 1,200.01 ACN - 101 RECEIPT - CDOO02121 7 ),,'~<'/ c,.Y ./ P . -' <,/, /r 1.-,- ~ .,!/JI.I";:/, Y,h',1;,'7' o _." /'J U ' I" , 'l! j'" -' i' ." . /;,1, ~ - ,. .c 0 1Il e- -,.. ~ e ~; w 0 is c ...J -l!~! u .! ~ ~ U U" ~"-gcf - ~ t'lI cD ..... = ";: ~ ~ ~ J!:-e ~ 58 ..0 ; ';;, ~ a: '.-,........! " ;11 III " i i ~ \ I .,.! l"'~ '''} c ~; :ll " ',I' ',.. ..' '\.' u: ',,' '~:\<,-~,.t, ,~\ (/1.- .-- ;1 ~ ..... ,", \ ,.\ "' ., ,I .' .,', ~ I \ II,'" " ~._~.' ((-, ", .~:;....> ~--0 J '. ,.__ ............! ..---r , -...:.-. .~.;.J, -::..> -,Z.-'-- ./_, ....-;-- '''- < "/"", -' L_' , ,.).) _"'::--::-~ ~~\ ,( ./.,.) -, .-;-~ ~- <~..~-) , , , '---, '. /':' ~;t_.- '-, ...... , -';> , j) , ,.,/ 0'_... . . ~. ..~ ....' . a: ... j!: o o fil .. .. ... t:;lli ",ZWCI ",~a:ca ~ot;"'5 -Z_C, CIJilllCa:....... 9....w....!:: -Ocalllh... !i:"':E.... wcE!ffi::! -.....-> W !::!~:Z:~~ ,.., t:_UWCO u.. _=CI.: -" ~wrnt-Z ..J _ ",1:00::> o .... _CZZ t ~ ~ 01\00 I- ",<~(J) Ld 111<0 ~ o:n ZC'"JI-ci ::>('01(/)0: ~""J:::> -;....I-cn >-Xo:(/) ::Ig~o: ~Offi~ (/)Q.NJ: l/'j - ,- -, -- - - - - .' - 1":' 1"',1 Ill" 11:1 ,.,'.. ..-1 I,... ,,.. "I 1,"li1 I"~~ .rl.... ... I ... o ... r" ... x '\,'1 .;-'; , , . t. ~ ,I ~ ~. . 'I' '. . ." . , ., I " f .\ .. , .' fj~ , \' " ___..._.__:--_.~~ _ _ i ,- ," . ._~. ..--' -- o . . ) " J .'. , . '...'. " "1:':' . ~ -. ~>" .. ~ )~ ~ , :::::. ~ ,,) . ~ ....... ~ <(t.:lVl 0 '\~ ~ , " ~ tW , , :z: '/:-"~ ~ . .; Q , W .. .. t >) \ \1, W 1;;:; cnZwc cn:r; a: ccc wct;U)a: ". \~ , 14 \\ I :sz_cc; "'a:w i . .'-.:.;3; , ~ ~...w-,a: arollDO ....z::ec:C.... r, ffiQ:Jffio _wz>.... ~ u....:z::-w ::l ' i:6:G.ud-' ~ ~!:)Q= "" "'r::"'.....z z oO:J -cczz, DODD ~\ \t',~"\\ l:3"'" ...... ,- ~ , -> :::.~ '-<:, , 11' 11' 11' (1..0 ,r4I r.Y:J (\01' "II ,l1O ~.... ~ ,'.. .. 't t';. . '---..' , t. > V, . ~.. 'l' , )0 . . ) \ ." -j '. , . , , , /1 I .,,' ..;.: ..~. .... ,- .. " . , ;" ,,~ " . J 1::~ ~. : .' . -- __-_---.~_-~..... - - 1M. r--_.' . .,.:. - , , Cumberland County - Register Of ~lills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240 - 634 5 Date: 12/01/2004 RICHARD D HAMMANN 928 FORBES RD CARLISLE, PA 17013 RE: Estate of PHILLIPS J HAROLD File Number: 1996-01011 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 11/29/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, 4, ~-'" .~i It'b;ul;L v(2luz:;A..J }t/fA;,: {} , GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge ,. . . , ., , ,