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HomeMy WebLinkAbout01-0620 PETITION FOR PROBATE & GRANT OF LETTERS Estate of CHARLES S. WILLIAMSON also known as No. 21-01-620 To: Register of Wills for the County of Cumberland Commonwealth of Pennsylvania , deceased. Social Security No. 162-22-5333 The Petition of the undersigned respectfully represents that: Your Petitioner, who is 18 years of age or older and the Executor named in the Last Will of the above decedent dated October 30 . 1997. and codicils dated none . 19----=. The Executor named none died Renunciations for none attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania. with his last family or principal residence at 804 Pine Road. Carlisle, Dickinson Township Decedent, then ~ years of age. died June 25. 2001, at Green RidQe VillaQe. Newville. Pennsvlvania Except as follows, decedent.did not marry, was not divorced and did not have a child born or adopted after execution of the Will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in PA (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania, situated as follows: 804 Pine Road. Dickinson Township. Carlisle. PA 17013 $100.000.00 $ $ $92.000.00 WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented herewith and the grant of letters testamentary thereon. Signature(s) and Residence(~ etitioner(s): Mark D. Williamson 9207 Stephanie Street Manas5a5. VA 20111 703-392-3877 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 55 COUNTY OF CUMBERLAND The Petitioner(s) above named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that as personal representative of the above decedent. petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscr:bed before me this 29th day of June. 2001. ~'Y~ ~~./<~jo.<"/fi/' ~~'7' , !~eglster ~<1 ~~ Mark D. Williamson 16-02~~ - /r::v No. 21-01- 620 Estate of CHARLES S. WILLIAMSON I deceased. DECREE OF PROBATE & GRANT OF LETTERS AND NOW, JULY 2 , 2001, in consideration of the Petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated October 30, 1997 described therein be admitted to probate and filed of record as the Last Will of Charles S. Williamson ; and Letters Testamentary are hereby granted to Mark D. Williamson FEES Probate, Letters, Etc. . . . . . . . $ 235.00 Short Certificates(-3- ) . . . . $ 9.00 Renunciation(s) .. . . . . . . . . . $ JCP . . . . . . . . . . . . . . . . . . . . $ 5.00 Other Will Paqes (-2-) .... $ 6.00 TOTAL: .... $ 255.00 Filed . . . . .:rll~~ . f 9 ,. .2.o.Q ~ . . . . . . . . . . ~7~'<(*m)~//.~<<"Y e . ter of \ lis IRWIN McKN!GHT & HUGHES ~ '"3,cii~ Ro er B in Esquire (u6282) ATTaR EY (Sup. Ct. 1.0. No.) 60 West Pomfret St., Carlisle, PA 17013 ADDRESS 717 -249-2353 PHONE {kv~ ~_~' ')".:N"; :)1:": "i'-:r. This is to certifY that the information here given is correctly copied from an original certificate of death dul~ filed with Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent fihng. WARNING: It is illegal to duplicate this copy by photostat or photograph. me as No. it ,.qq^ "'. Q..:.... , Df'~ Local Registrar Fee for this certificate, $2.00 p 7402635 JlIN 2 6 2001 Date 21-01-620 H105.143 Rft. 2117 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH 'PElPAINT IN .......NENT l..AClltlNK t. AGE (laa ~y) Charles S. UNOER 1 YEAR Monthe Days SlRI! FIlE NU..... SOCIAl. SECU"ITY NUMBER NAME Of DECEDENT IFl". Middle. 1...1 .. 162 - 22 89 v... COUNTY OF DE.O"H BIATH'l.ACE (CIy Md StIle 01 fer"9"l CounrrYJ Carlisle PA epartment of 11.. 11111. OECEDeNT'S MAIUHG AOOAEsa $... Ciryl"bwn. s... II) Cumberland DE EOENT'S USUAL UPArION ot-=:~:OO;:- ::~::r est Pennsboro ... .;1,,\ 'MS DECEDENT EVER IN U.S. ARMED FORCES? YM 0 ...XJ MARITAL STAJUS. Married Nrtef Married. WIdowed. --"vi ,.~idowed ,.,gc....--......... DicJciRliQR to. ~ :il :;l o o ~ ~ z ACTUAl. RESIDENCE (See ........... an 011'\" SIOel 11..s.... PA '1b. Old -..... ...... -' ....,.. METHOD OF 0.5 TION C:::LC'~'ion 0 ~lromSlateO 17055 Funeraf Home 501 N. Bal ...I!!l -J -J "- S .- 11nIi.,.,., bMwMn :or.-lncI drNth I I I PART I: 0lMr lignitanl CCll'dioN conIt'itludng 10 dINd\. bull noc NIUltlnQ In 1M ~caM gIwn iI'I PART I. ., l : .. WERE AUlOPSY FIHDIHGS --...eu l'lItOA 10 couPt.E'11ON OF CAUSE OF DERH? DUE rotOR ASA CONSEOUENCE Of): DUE 10 (OR AS A CON&OUENCE OF), _0 MANNIE:A OF OEATH -.. 0 - 0 - 0 "--- 0 ....... 0 eou.d not N det.nnlMd 0 DATE OF INJURV (Month. Oloy. ~ TI"E Of INJURY tNJUAY 1Iil 'NORK? DESCRIBE tON INJURY OCCURAED. .... 0 ...0 o NoD j .... CUIT"E" tChca onty onet -CERTIFYING II'K'I'IJClAH (Ph'fSlC*l ~ cause d dnth...."., ~ ghvsc,*, hat p10n0unted Oea'" ana completed "em 231 T..,.......O''''yllnowtecto-. ..d'I OCCUITM due to the cau.e(.) and "'entle,.. a'.led.................................. 20. "PfIIOHOUNCtNG AND CERTIFYING PHYSICIAN IPhYICllIn bo/I'l O)fono...rctnC) aea'" ~ CeodVW'Q1O cause 01 dealt'll TottM ~olmy kno"'lMift, ..thoccurred.Ilf'\eI...... 91e. 'ndp4ace, and due to I....UUH(.) .ndm.nn.'''.~led......,. o .MEDICAL EX...MINER/CORONER On lhe b..I. of ...mln"lon and/or Inv.ttlgation.ln my opinion, duth occur,ed at the time, dat., and pl.ce. .nd due to the cauu(sl.nd m.nne'.. 81.1ed.. . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . )1.. REGIS o \)., f ,:-t: \ I~ \ 1d..1 \ 10 I ... ~ p 4 (. ~oo I 21-01-620 LAST WILL AND TESTAMENT I, CHARLES S. WILLIAMSON, of Dickinson Township, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executor to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executor to sell any realty owned by me at my death, and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I devise and bequeath all of my estate of every nature and wherever situate as follows: (a) I give the sum of$5,000.00 to the Huntsdale Church ofthe Brethren, (b) I give the sum of $ 10,000.00 to Gloria M. Williamson, (c) I give the sum of $5,000.00 to Jessica Williamson, (d) I devise and bequeath my home and all personal belongings (car, equipment, furniture, etc.) to my grandson, Mark D. Williamson, ( e) I direct that all my money (certificates of deposit, etc.) after the payment of taxes and expenses, be held in Trust by Financial Trust Services Company, Carlisle, Pennsylvania, and all the income and $10,000.00 per year of the principal be paid to Mark D. Williamson until the funds are extinguished. 4. If Mark D. Williamson is not living at the time of my death, I give, devise and bequeath all the residue of my estate to Gloria M. Williamson and Jessica Williamson, share and share alike. 5. I nominate and appoint Mark D. Williamson to be the executor of this my Last Will and Testament; he is to serve as such without bond. Should he die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Roger B. Irwin and Marcus A. McKnight, III, as substitute executors, also to serve as such without bond, with the same powers as are given herein to my executor. 6. I hereby suggest that my personal representative retain the servIces of Irwin, McKnight & Hughes, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 30TH day of October, 1997. C1 CHARLES S. WILLIAMSON Signed, sealed, published and declared by CHARLES S. WILLIAMSON, the above named testator, as and for his Last Will and Testament, in the presence of us, who at his request, in his presence and in the presence of each other have subscribed our names as witnesses hereto. 2 ACKNOWLEDGMENTANDAFmDA~T WE, CHARLES S. WILLIAMSON, CHERYL L. CLELAND and MARTHA L. NOEL, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being fIrst duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will, and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each ofthe witnesses, in the presence and hearing of the testator, signed the Will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. (~/J/4~ ~.-ft-~ CHARLES S. WILLI~~ON ~~;t' ~// E YL L. CLELAND ~~ Y. ~ MARTHA L. NOEL COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by CHARLES S. WILLIAMSON, the testator herein, and subscribed and sworn to before me by CHERYL L. CLELAND and MARTHA L. NOEL, witnesses, this ~o' day of~ber, 1997. //]n S cL / N tary Public Notarial Seal Roger e. Irwin, Notary Public Carllsfe Boro, Cumberland Coun My Commleslon Expires Oct. 3, 20~O Membllf. Pennsylvania Aasoclatlon Of Notarl.tl E CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: CHARLES S. WILLIAMSON Date of Death: June 25. 2001 Estate No.: 21-01-0620 To the Register: I certify that notice of the beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on August 16. 2001 Name Address Mark D. Williamson Gloria Williamson Jessica Williamson Huntsdale Church of the Brethren M&T Bank (formerly Financial Trust) 9207 Stephanie Street. Manassas. VA 20111 600 Gutshall Road. Boiling Springs. P A 17007 9207 Steohanie Street. Manassas. VA 20111 170 Church Road. Carlisle. P A 17013 1415 Ritner Highwav. Carlisle. PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none. Date: 08/16/01 ~.CL Name Roger B. Irwin, Esauire Address 60 West Pomfret Street Carlisle, P A 17013 Telephone (717) 249-2353 Capacity: Personal Representative x Counsel for Personal Representative c STATE OF \I IRblN IA COUNTY OF Af.<L.IW&fm~ l J 55: Mark D. Williamson being duly sworn according to law, deposes and says that he is the Executor of the Estate of Charles S. Williamson late of _Di~J:<.in~~_n'f~~~hip_ ___________ , Cumberland County, Pao, deceased and that the within is an inventory made by Mark D. Williamson, the said Executor of the entire estate of said decedent, consisting of all the personal propt!rty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. Sworn and subscribed before me, N.A2//~ this 18th day of S~B~ 2001 ~tLt Md-- - Mark D. Williamson, Executor 9207 Stephanie Street DEBRA l. DICKSON NOTARY PU~U~ C<?MMONWEALTH OF VIRGINIA My COIn;l1!SSfOn Expires December 31, 2003 Manassas, VA 20111 Address Date of Death 25 06 2001 Day Month Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 30 Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. CI.l Z ~ Q) ~ >- 0 .M 1-1 t5 CI.l .s::: Gl OM I- W ... c::: I- ~ UJ III ;:l ~ ~ w < ~ Q) 0 0.. I- H U UJ N 0 V') H 0 Q) Gl ~ t.el \0 0 W w H E-t C 01 ~ c::: III Gl 0 ~ J: 0.. H 0.. .. c E-t I Z I- ...J LL. ~ s:: III s:: .. ::c - ...J < 0 . ! 0 0.. .M 0 0 0 W LL. < W UJ ~:I: H I > 0 c::: CI.l s:: .,;. 1-1< 52 - Z OM .... H N Z 0 CI.l ~ C CJ C :J V') Z ~ CJ 0 . ~ ci c::: ~ OM U ~ Z w < ~ .,. .. 0.. ~ 1-1 Z c Q) H U1 III ~ - "'i: 0 0 Q) P::i H i ~ ~ ..x I Q) E 0 .... Gl III :J 0 ...J U u::: a:I ------- ---------- --- Jnventory of the real and personal estate of CHARLES S. WILLIAMSON deceased I. 804 Pine Ro ad, Dickinson Township, Carlisle, Cumberland County. . . . . . 92 , 000 00 2. M&T Bank - Checking . . . . . . . . . . . . . . . . . . . . . 6,953 60 3. M&T Bank - Certificate. . . . . . . . . . . . . . . . . . . 5,047 06 4. M&T Bank - Certificate. . . . . . . . . . . . . . . 4,010 24 5. M&T Bank - Certificate. . . . . . . . . . . . . . . . . . . . . . . . 6,076 76 6. M&T Bank - Certificate. . . . . . . . . 8,159 58 7. M&T Bank - Certificate. . . . . . . . . . . . . 5,034 89 8. M&T Bank - Certificate. . . . . . . . . 13,209 36 9. M&T Bank - Certificate. . . . . . . . . . . . . . . . 20,301 07 10. M&T Bank - Certificate. . . . . . . . . . 10,059 43 II. M&T Bank - Certificate. . . . . . . . . . . . .1 10,053 75 12. Orrstown Bank - Checking. . . . . . . . . . . . . . . . . .1 933 16 13. Orrstown Bank - Certificate . . . . 5,044 80 14. Orrstown Bank - Certificate . . . . . . . . . . . 30,077 00 15. PNC Bank - Certificate. . . . . . . . . . . . . . . . . . . . 10,069 70 16. PNC Bank - Certificate. . . . . 11,120 69 17. Cumberland Valley Co-op . . . . . . . . 20 00 TOTAL. . . . . . . . . . . . . . . . . . 238,171 09 CAPB HpRL EplO CRAC KOTK ES REV-15oo EX + (6-00) c OFFICIAL USE ONLY REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT 1(;- J'!()- /,a FILE NUMBER D E C E D E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Williamson Charles DATE OF DEATH (MM-DD-YEAR) COUNTY CODE YEAR SOCIAL SECURITY NUMBER 162-22-5333 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 21-01-0620 NUMBER REGISTER OF WILLS SOCIAL SECURITY NUMBER 1. Original Return 4. LImited Estate X 6. Decedent Died Testate (Attach copy of Will) D 9. LItigation Proceeds Received 2. Supplemental Return 48. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a LIving Trust (Attach copy of Trust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) 1 D 3 date of death . Remainder Return prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch 0) C o M T P A ~ X A T I o N C P o 0 R N R D E E S N T NAME Ro er B. Irwin Es . FIRM NAME (If Applicable) IRWIN McKNIGHT & HUGHES TELEPHONE NUMBER COMPLETE MAILING ADDRESS 60 West Pomfret Street West Pomfret Professional Bldg. Carlisle, PA 17013 R E C A P I T U L A T I o N 4 - 5 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Sub"ect to Tax (Line 12 minus Line 13) OFFICIAL USE ONLY (8) 238,171. 09 (11) 22.910.71 (12) 215,260.38 (13) 5.000.00 (14) 210,260.38 (1) (2) (3) 92,000:'00- None None (4) (5) None 146,171.09 (6) None None 11,502.03 11,408.68 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 0.00 X .0 0 (15) 0.00 210,260.38 X .0 45 (16) 9,461. 72 - 0.00 X .12 (17) 0.00 0.00 X .15 (18) 0.00 (19) 9,461. 72 Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 804 Pine Road CITY I STATE I ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 9,461. 72 0.00 473.09 Total Credits ( A + B + C) (2) 473.09 3. InterestlPenalty if applicable D. Interest E. Penalty TotallnterestlPenalty ( D + t: (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Cheek box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line S + SA. This is the BALANCE DUE. (5B) Make Cheek Payable to: REGISTER OF WILLS, AGENT J .,~C O. 'JO 8,988.63 0.00 8,988.63 ::::::;: UU~:::::: ~~~~~~uH)H~inUnU [Hi] U ::::: :<Lji;j::j ~~1111: Uj~~1nn2: ~: n:: [1 HH;~:;: ~nY)::::::~ n:::' >:>.::...,>>>;,:;:,::>,::,:<,::,,::,:,;"'<::::::".' ,:,.:.:::. . .' '.' . - . . . . - . - . . . -' ...., - ..... -' '.' . ' : - - -.' - -'. ' .. i \: j: : i; : i : : : ; ~::: :, ; ~ ;: :; : ~ j :: : : ; :; : : : ;: : : , : : : : : :; :; : : : : : : : :: : : :: ~; : :; : ; : : : : [;::;; ; i : : : :: : :; : IN THE APPROPRIATE BLOCKS Yes No ~~ o o o [8] [8] [8] Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief. it is true. correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. Mark D. Williamson _ _ _~?9?_ _ ~~~_~tt~!'_~~ - ?_~: - - - - - - - - - - - - - - - - - - - - - - - - - - -- Manassas, VA 20111 IRWIN McKNIGHT & HUGHES 60 West Pomfret Street - - - -- -- -- - --- - - -- - - --- - - - - - - - - -- - - - - - - - -- - - - - - - - - - - -- Carlisle, PA 17013 DATE SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ~~~L/J!~ SIGNATURE OF PREPARER OTHER THAN REPRESENT AliVE 0.dL (.\{I'if'~( DATE For dates of deatH after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 9116 (a) (1.1) (il]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 9116 (a) (1.1) (ji)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%. except as noted in 72 PS. 9116{ 12) [72 P.S. 9116(aX1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(aX 1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00J REV-1502 EX +(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Charles S. Williamson SS# 162-22-5333 06/25/2001 21-01-0620 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE DESCRIPTION NUMBER OF DEATH 1 804 Pine Road, Dickinson Township, Carlisle, Cumbo Co. 92,000.00 SCHEDULE A REAL ESTATE TOTAL (Also enter on line 1, Recapitulation) S 92,000.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1502 EX (Rev. 1-97) REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Charles S. Williamson SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY SSfj 162-22-5333 06/25/2001 FILE NUMBER 21-01-0620 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 M&T Bank, checking 6,953.60 2 M&T Bank, certificate 5,047.06 3 M&T Bank, certificate 4,010.24 4 M&T Bank, certificate 6,076.76 5 M&T Bank, certificate 8,159.58 6 M&T Bank, certificate 5,034.89 7 M&T Bank, certificate 13,209.36 8 M&T Bank, certificate 20,301. 07 9 M&T Bank, certificate 10,059.43 10 M&T Bank, certificate 10,053.75 11 Orrstown Bank, checking 933.16 12 Orrstown Bank, certificate 5,044.80 13 Orrstown Bank, certificate 30,077.00 14 PNC Bank, certificate 10,069.70 15 PNC Bank, certificate 11,120.69 16 Cumberland Valley Co-Op 20.00 TOTAL (Also enter on line 5, Recapitulation) S 146,171.09 (If more space is needed, insert additional sheets of the same size) Copyright (e) 1996 form software only CPSystems, Inc. Form REV-1508 EX (Rev. 1-97) REV-1511 EX +(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Charles S. Williamson SSfI 162-22-5333 FILE NUMBER 21-01-0620 06/25/2001 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES: B. AMOUNT 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. 3. Attorney's Fees IRWIN McKNIGHT & HUGHES Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 10,800.00 City Relationship of Claimant to Decedent State Zip 4. Register of Wills 255.00 Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Cumberland Law Journal - estate notice publication 75.00 2 Register of Wills - filing fee 25.00 3 Steven W. Barrett Real Estate - appraisal fee 250.00 4 The Sentinel - Legal - estate notice publication 97.03 TOTAL (Also enter on line 9, Recapitulation) S 11,502.03 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97) REV-1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Charles S. Williamson SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS SSII 162-22-5333 06/25/2001 FILE NUMBER 21-01-0620 Include un reimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION Carlisle Regional Medical Center AMOUNT 18.07 2 Continuing Care RX 101.15 3 Lehigh Valley Respiratory Care 100.00 4 Presbyterian Homes 11,189.46 TOTAL (Also enter on line 10, Recapitulation) S 11,408.68 (If more space is needed, insert additional sheets of the same size) Copyright (el 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97) REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Charles S. Williamson NUMBER I. SCHEDULE J BENEFICIARIES SSII 162-22-5333 06/25/2001 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) 1 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [Include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] TUW FBO Mark Williamson Trust Daughter-in-Law Grandchild Grandson FILE NUMBER 21-01-0620 AMOUNT OR SHARE OF ESTATE remainder 10,000.00 5,000.00 residence ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON- TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE Chs. Williamson M&T Bank P.O. Box 220 Carlisle, PA 17013 2 Gloria Williamson 600 Gutshall Road Boiling Springs, PA 17007 5,000.00 TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET S (If more space is needed, insert additional sheets of the same size) Copyright (c) 2000 form software only The Lackner Group, Inc. 3 Jessica Williamson c/o Mark Williamson 9207 Stephanie Street Manassas, VA 20111 4 Mark D. Williamson 9207 Stephanie Street Manassas, VA 20111 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Huntsda1e Church of the Brethren 170 Church Road Carlisle, PA 17013 5,000.00 Form REV-1513 EX (Rev. 9-00) LAST WILL AND TESTAMENT I, CHARLES S. WILLIAMSON, of Dickinson Township, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executor to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executor to sell any realty owned by me at my death, and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I devise and bequeath all of my estate of every nature and wherever situate as follows: (a) I give the sum of $5,000.00 to the Huntsdale Church of the Brethren, (b) I give the sum of$IO,OOO.OO to Gloria M. Williamson, (c) I give the sum of $5,000.00 to Jessica Williamson, (d) I devise and bequeath my home and all personal belongings (car, equipment, furniture, etc.) to my grandson, Mark D. Williamson, (e) I direct that all my money (certificates of deposit, etc.) after the payment of taxes and expenses, be held in Trust by Financial Trust Services Company, Carlisle, Pennsylvania, and all the income and $10,000.00 per year of the principal be paid to Mark D. Williamson until the funds are extinguished. 4. If Mark D. Williamson is not living at the time of my death, I give, devise and bequeath all the residue of my estate to Gloria M. Williamson and Jessica Williamson, share and share alike. 5. I nominate and appoint Mark D. Williamson to be the executor of this my Last Will and Testament; he is to serve as such without bond. Should he die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Roger B. Irwin and Marcus A. McKnight, III, as substitute executors, also to serve as such without bond, with the same powers as are given herein to my executor. 6. I hereby suggest that my personal representative retain the servIces of Irwin, McKnight & Hughes, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 30TH day of October, 1997. g I -) I- ",. V (/,:~~-, t.'4h ,$~4sllMrP-~~L- CHARLES S. WILLIAMSON Signed, sealed, published and declared by CHARLES S. WILLIAMSON, the above named testator, as and for his Last Will and Testament, in the presence of us, who at his request, in his presence and in the presence of each other have subscribed our names as witnesses hereto. 2 ACKNOWLEDGMENT AND AFFIDAVIT WE, CHARLES S. WILLIAMSON, CHERYL L. CLELAND and MARTHA L. NOEL, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will, and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the Will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. /).p " 0 ,/~ '//('" L -11f1 //~ /fk.s. .f2f! / /7-:-~t:. ........-t:LC2--7 r.zG-<-'":7/L._- CHARLES S. WILLIAMSON ~ J 7 ?l' .-:7 ,,/ ERYL L. CLELAND '-1{~ Y "M<<? . MARTHA L. NOEL COMMONWEAL TH OF PENNSYL VANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by CHARLES S. WILLIAMSON, the testator herein, and subscribed and sworn to before me by CHERYL L. CLELAND and MARTHA L. NOEL, witnesses, this ~o' day of~ber, 1997. Notarial Seal Roger B, Irwin, Notary Public Carl/afe Bo'O, Cumberland Coun My Commission ExpIres Oct. 3, 20~O Member. PennsylvanIa Assoclallon at NOlarltltJ STEVEN W. BARRETT REAL ESf Al t: & APPRAISAL SERVICES Fie No. 01-'>568 APPRAISAL OF LOCATED AT: Pine Road Carlisle, PA 17013 FOR: Irwin, McKnight & Hughes 60 West Pomfret Street Carlisle, PA 17013 BORROWER: Charles S. WILLIAMSON Est. AS OF: 06/27/2001 BY: Stan A. Skowronek 124-126 NORTH HANOVER STREET, CARLISLE, PA 17013 717-243-6646 AND FAX 717-243-8627 STEVEN W. BARRETT REAL ESTATE & APPRAISAL SERVICES File No. 01-0568 .-.. . . . 06/27/2001 Irwin, McKnight & Hughes 60 West Pomfret Street Carlisle, PA 17013 File Number: 01-0568 In accordance with your request, I have personally inspected and appraised the real property at: 804 Pine Road Carlisle, PA 17013 The purpose of this appraisal is to estimate the market value of the subject property, as improved. The property rights appraised are the fee simple interest in the site and improvements. In my opinion, the estimated market value of the property as of June 25, 2001 is: $92,000 Ninety-Two Thousand Doliars The attached report contains the description, analysis and supportive data for the conclusions, final estimate of value, descriptive photographs, limiting conditions and appropriate certifications. Respectfully submitted, ~Q~uJr~t Stan A. Skowronek Certified Residential Appraiser m .... .. .... 124-126 NORTH HANOVER STREET, CARLISLE, PA 17013 717-243-6646 AND FAX 717-243-8627 SUMMARY APPRAISAL REPORT PrODertv DescriDtion UNIFORM RESIDENTIAL APPRAISAL REPORT File No. 01-0568 Property Address 804 Pine Road City Carlisle State PA ljnCode 17013 LeoalDesO'iotion Deed Book Y-21 , Page 18 Counlv Cumberland Assesso(s Parcel No. 08-31-2197-013 Tax Year 00/01 R.E. Taxes $ 1200Est Soecial Assessments $ None Borrower Charles S. WilLIAMSON, Estate Current Owner Same Oceuoan!: 11 Owner r l Tenant I X I Vacant .. Prooertvriohtsaooraised IXI FeeSimole l Leasehold r ProiectTvpe r -I PUD Il CondominiumlHUDNAonlv\ HOA$ N/A /Mo. Neiahborhood or Proiect Name Dickinson Townshlo Mao Reference 31-2197 Census Tract 0127.98 Sale Price $ N/A Date of Sale DesO'iption and $ amount of loan chargeslconcessions to be paid by sellerN/A Lender/Client Irwin, McKnlaht & Hughes Address 60 West Pomfret Street, Carlisle, PA 17013 Appraiser Stan A. Skowronek Address 126 North Hanover Street, Carlisle, PA 17013 Location U Urban l2Sj Suburban U Rural Predominant Single family housing Present land use % Land use change Built up 0 Over 75% 00 25-75% 0 Under 25% occupancy f(~9E ~~f One family ~ 0 Not likely 0 Likely Growth rate 0 Rapid 00 Stable 0 Slow 00 Owner 95 ~ Low ~ 2-4 family ~ 00 In process Property values 00 InO'easing 0 Stable 0 Declining 0 Tenant 175 Hioh 50 MJIti-family ~ To:Resldentlal Demand/supply 0 Shortage 00 In balance 0 Oversupply 00 Vacant ((}.5%) JiJ, Predominant ),1i1\1 Commercial 0% Marketinatime n Under 3 mos. fXl3-6mos. n Over 6 mos. n V."'nflovorS%\ 110 I 30 IVacant \ 35% Note: Race and the racial composition of the neighborhood are not appraisal factors. Neighborhood boundaries and characteristics: Subject Is bounded on the north by Walnut Bottom Rd, on the east by Holly Pike, on the . south bv Sandbank Rd and on the west by Burnthouse Rd. . Factors that affect the marketability of the properties in the nelghborhoo~proximlly to employment and amenities, employment slabllity, appeal to market, etc.): . There are no adverse factors to affect marketabllitv. Diverse, stable emolovment and all supportlna amenities are within .. reasonable driving distance. MSA 3240. Market conditions In the subject neighborhood (including support far the above conclusions related to tl1eend of property values, demand/supply, and markeling time - - such as data an competitive properties far salein the neighborhood, description of the prevalence of sales and financing concessions, etc.): Property sales records and MlS statistics show a stead v, moderate Increase In propertv values over the past vear. Average marketina time of 80-100 days shows a good balance of supply and demand. Few sales and financing concessions are needed in the neighborhood. . Project information for PUDs(lf applicable) - - Is the developer/builder in control of thEHome Owners' Association (HOA)? U YES _ W NO Approximate total number of units in the subject project N/A . Approximate total number of units far sale in the subject project N/A Describe cammon elements and recreational facilities:N/A Dimensions See leaal description Topography Slightly Sloping Site area .57 Acre mil Corner Lot 00 Ves 0 No Size Tvolcal for area Specific zoning classification and description low Densltv Residential Shape Irregular Zoning compliance 00 Legal 0 Legal nonoo~ng (Grandfathered use) U Illegal 0 No zoning Drainage Adeauate Hiohest & best use as improved: rX!Present use I I Other use lexnlain\ View Residential Utilities Pubiic Other Off-site Improvements Type Public Private Landscaping Average Eiectricity 00 200 amp Street Macadam 00 0 Driveway Surface Macadam Gas 0 Curb/guller None 0 0 Apparent easements None Indicated Water 0 Well Sidewalk None 0 0 FEMA Special Flood Hazard Area U Ves ~ No Sanitary sewer 0 Seotic Street lights None 0 0 FEMA Zone X Map Date 12/19/95 Storm sewer 11 Aliev None n H FEMA Man No. 421580 0002B Comments (apparent adverse easements, encroachments, special assessmentsslide areas, iliegal or legal nonconforming zoning, use, etc.): Well/Seotic common for the area and have no adverse affect on marketabilltv. There are no adverse easements, encroachments or other adverse conditions. GENERAL DESCRIPTION No. of Units 1 No. of Stories 1 Type (Det/AlI.) Detached Design (Style) Ranch Existing/Proposed Existing Age (Vrs.) 35 Effeclive Aoe Yrs. \ 15-20 . ROOMS Fover Basement Levell . Level 2 Livino # Baths o 00 00 ~J o U,known == 0 . R factor unknown Other Area Sa Ft. INSULATION Roof - Ceiling ~ Walis . Floor . - None EXTERIOR DESCRIPTION Foundation Conc Block Exterior Walis Brick Roof Surface Asohalt Gullers & Dwnspts. Aluminum Window Type Wood Frame Storm/SO'eens Yes Manufactured House No Dinino Kitchen FOUNDATION Slab None 0av.I Spaoe Full Basement None SUfT1lPufT1lN/A Dampness None Obsvd Settlement None Obsvd Infestallon None Obsvd Famllv Rm. Rec. Rm. Bedrooms BASEMENT Area SqFt. None % Finished N/A Ceiling N/A Walls N/A FloOf NI A Outside Entry N/A Den Laundrv area 2 1,120 Finished area above orade contains: 4 Rooms' 2 Bedroom's\' INTERIOR MaterialslCondition HEATING KITCHEN EQUIP. A HIC Floors Hrdwd/CrpWinyl Type Basebrd Refrigerator 0 None 0 . Walls Drvwall Fuel Electric Range/Oven 00 Stairs 0 TrimlFinish Wood ConditianAverage Disposal 0 Drop Stair 0 Bath Floor Carpet COOLING Dishwasher 0 Scullle 00 Bath Wainscot Drwll/CerTle Central None FanlHood 00 Floor 0 Doors Hollow Core Other None Microwave 0 Heated 0 Averaae Condition ConditianN/A WasherlDrver n Finished n Additional features (special energy efficient items, etc.): Celllna fans. Covered oorch. 200 amp service. 1 Bathls\' AMENITIES Fireplace(s) # _ Patio Deck Porch Covered Fence Pool o 1,120 Snuare Feet of Gross Livina Area CAR STORAGE: o None 0 o Garage o Attached 00 Detached o Built-In o Carport n Drivewav # of cars 3/Mac Condition of the improvements, depreciatior(physical, functional. and external), repairs needed, quality of construction remodeling/additions, etc.: Improve ments are in average condition with no physical Inadequacies apparent. Functlonallnadeauacv for two bedroom floorplan. Adverse environmental conditions (such as, bulnot limited to, hazardous wastes, toxic substances, etc.) present in the improvementson the site, or in the immediate vicinity of the subject property: No adverse environmental conditions are aoparentldlsclosed Freddie Mac Form 70 6.93 PAGE 1 OF 2 Thislorm was produced on the ACI 08Vl11opmllnl RapldForms system (800)234-8727 Fannie Mae form 1004 6-93 ESTIMATED SITE VALUE. . ESTIMATED REPRODUCTION COST-NEW OF IMPROVEMENb Dwelling 1,120 Sq Ft. @ $ 52.00 = $ ___ :)~,~~Q Crawl 200 Sq.Ft. @$~ = __ 600 . Well,Septic,Parch = ___ 1~,~~Q Garage/Carport ~~_ Sq. Ft. @ $ ~ = __ _ _ !,064 Total Estimated Cost New t = $ - 7'!!~~ Less . Physical I Fu'ncti~n'ai . E~t~rn~I' Est. Re;;;Jininu Econ. Life 35 . Depreaatlon $10,000 $2,000 0 = $ __ __ __~~IOOO Depreciated Value of Improvements. = $ __ __~__~7 ,40~ "As-is" Value of Site Improvements. = $ 3,000 INDICATED VALUE BY COST APPROACH. . . = $ 92,400 ITEM I SUBJECT COMPARABLE NO.1 804 Pine Raad 105 Hillside Drive Address Carlisle Mt. Hally Springs Proximity to Subject 3.07 MI ENE Sales Price $ N/A Price/Gross Liv Area $ 0.00 12l Data andlor Inspectian Verification Sources Caurthause Rec VALUE ADJUSTMENTS DESCRIPTION Valuation Section Sales or Financing Concessions N/A N/A Average Fee Simple . 57Ac/Avg Residential Ranch/Avg Average 35 Yrs Average Date of Salemme Location Leaseholdifee Si~_ Site View Desiqn and Appeal Quality of Construdioll ~~------ Condition Above Grade Room Count Gross Living Area . Basement & Finished Rooms BoIow Grade ~-- Functional Utilitv !:1~aling/(";()()jir1g___ . Energy Effidentltems ~e/Carl""!__ Porch, Patio, Deck, Fireplace(s), etc. Fence, Pool, etc H Total: Bdrms I Bath, 4: 2: 1.00 1,120 SoH Crawl Space 2 Bedraam EBB/Nane Typical One Car Garage Parch Nane SUMMl,RY APPRf,I" ~,~:"JO~\T UNIFORM RESIDENTIAL APPRAISAL REPORT Hte 110. 01.0568 -, $ __ 3.~ ,()()O Commentl, on Cost Approach (such "s, sourceof cost estimate, site value, square foot calculationand fOI HUll, VI, "ud FrnHA, Ihe estlr:latbi :-cmaining economic life of the properly) Cast now fram marshall Swift Valuatian Service --~_._---- -_._----~-- -~ handbo~k and lacal cast analysis. Land value from Market Data Comparisan. Depreciatian based an age Iif~_. abse"!_Eld ca!lditian and market Data Analysis. Estil!1atec:l_ Rern_airlillg Ecanamic Life 40-45 Yll<l!li ________~__ COMPARABLE NO.2 476 Stanehause Raad Carlisle 1.94 MI ENE COMPARABL E NO.3 656 Burnthallse Raad Carlisle 2.68 MI NNE $ $ 92.49 I1i MLS/Caurthause 112,100 $ $ 84.07 I1i MLS/Caurthause 95,000 99,000 J $ 79.33 I1i MLS/Caurthause DESCRIPTION I-~.i:l! Ad"",,,,,,,__ . ..,-,-QESCRI0iQ~~~ ... r-:;:-;-$ Adlo>,m:;- --OESCRIPTICIN-=l . Ii $ Ad,o>'moo' Nane/FHA Nane/Other Nane/Canv DaM 8 DaM 215 DaM 6 OS/29/2001 06/01/01 02/01/2001 -,- ~~--. Average Averagll....... _l..~__ Average Fee Simple ,-------- Fee Simple .~___ Fee Simple. .44Ac/Avg _~___ .59Ac/Avg_ 1 Ac/Avg Residential +---- Residential n.___.,___ Residential Ranch/Avg ___...__~___ Ranch/Avg Ranch/Avg _ . _. _~_____. Average ~ Average Average ___ ___,_.____ 29 Yrs 51 Yrs ; 39 Yrs Avg/Gd . - _J .-----5;Q~~ Av~rag~__ ~, ____:______ Total: Bdrms ' Balhs ., ~~ Bdlh~_____~ T(;lal~Bdrm..:.._~____ l:klll,~ 5: 3: 2.00: -2,000 _~~_!,QQ:~;--~:----!:QQ: 1,212 SoFt _.:. -1,380 1,248 S9iL _: _____:1~___!,~.ll~qFL__: Full BsmU -2,500 Partial Bsmtl Full BsmU Unfinished _. ._________ !:!!1finis!!Ilc:l: l.!llfil1.!li!!llc:l Average __ _:____~,OOO Average ,__ ___:~ ~veral!ll._ FHA/Nane FHA/Nane FHA/Nane Typical__. :__~~_=_--==.!Ye!~al=___ ....___.!w~al_ Two. Car Ga!i1~e : .__:1,~QQ. 1 CAt!~/~<::[}()t~_:~,QOO Nane Parchl : -2,000 Parchl .2,000 Nane 1 Fireplace ________ _!FirElEI~_<:() , ______~ ___ Nane Nane Nane :__--=.!,50Q o -2,500 ----_:~,Q()Q n~~,QQQ +1,000 --- fletAdltotal\ 11+ IXI.:$ 16,380 I + IXI.__~.!_ 8,920 II't'rxl. ;~_~OOO Adjusted Sales Price Grass: 14.6% Gross: 9.0% Grass: 9..5% of Comparable Net: -14.6% $ 95,!20 Net: -9.0% $ __ 90,080 Net: -3.2% $ ._~()Q() Comments on Sales Comparison (including the subject property's compatibility to the neighborhood, etc ): !!1dicated range af value is $90,900 ~__ $96,000. Lack af suitable camparables within the subjects immediate vicini!Y.!ll..q~!!ed an....ll~panded search ar.ll<l-...!!!llseill'll.....__ the_~estliil!es camparables knawn to. be availabl~_________. ___ u_______ 1--- - =IT~~-=- 04/12S/U6B6JECT _COMPi\.R~1 E N\2-:b1 _- C()~tl'~.r,M" E WJ 2 ---]-- .-~~, ,. ,(,If''I,:.I,l I: ~(;-:1- ___u Date. Price and Dala SourCilfUfpriorsales 500.00 N/A N/A N/A ..;thinvearofapPfaisal Caurthause Caurthause __. __ CaurthausE!._ ___ _ Caur!l!ause ____________ Analysis of any current agreement of sale, option, or listing of the subject property and analysis of any priorsald of ,ubj"c! and comparables within one yeor of 11'0 dJle of appraisal No. priar sales within the past year._ ______________ _ ____ _~_____ INDICATED VALUE BY SALES COMPARISON APPROACH. . 92,000 . INDICATED VALUE BY INCOME APPROACH'I! Applicable) Estimaled Market Rent $ N/A IMJ x Gross Rent Multiplier N/A" $ -------NIA ThiS appraisal is made J!] "as is" 0 subject to the repairs. alterations. inspections or conditions listed below [J subject to completion per plans and spedfications Conditions of Appraisal The praperty has been appraised in current canditiarl~.!!!is al?EEilili<l!is far client anIY'-I1CJ.rl-tra"liferable. See attached addendum. Summary Appraisal Repart _ _ . __ Final Reconclliation:Mast emphasis is placed upan the sa!lls camPil!!li~.!!..<IE.e!~<I.!:=!l, ~tl!!l1e cast appraachl(}~o;_lii~nJfi(;'!fl!in____u supparting aur estimate af value. The purpose of Ihis appraisal is to eslimate the market value of the real property that is Ihe subject of this report, based on Ihe above condilions and tile certification, oontlngent and limiting conditions, and market value definitiorthat are stated in the attached Freddie Mac Form 439iFannie Mae Form 1004B (Revised 6/93 _______ ) I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUB.JECDFTHISREPORT,ASOF Q~/~~!~QQ1 _ ______ ___ . (WHICH IS THE DATE OF INSPECTION AND THE EFFECTIVE DATE OF THIS REPORT) TO BE $ 92,000 _ APPRAISER:. c.< \ C-. " <.:..:,\ / Ie SUPERVt~~. ,(~~RAIS~Lr IF ~UlI~r[1: ~alure.. "_S\u......\. J, "-'~0l(~rLl(.i\ _._.._ __.,___ Slgnatura.._ __> ~ --- --'-- I Nam~-Stan A. Skawronek ' Name Steven W. Barrett, SRPA, SRA Q,!t~ B9P~rt ~;g;;~~~Q6i2I72001___ -=--=-- QQtllEeport ~ignlli~0IiT27/200[==--n ~'-"ltJ.(";",!i!!cation!Ll3.1".001572-L ~_________ _ ;;t"tll!"_~____ ~@t~Cer~~GQtiollll ~~.000298:~___ Or State license # Sfate Or Sfate License # RB-026921-A t leJdl<J Mac FL(m 70 ii-9] \..tertltled KeSldentlal PAGE 2 OF 2 Certified GcnurarA-rji.)i~is-c-r-- Appraiser 1101:;1"1.1) ...~" p JLj.;~d Olltll~ ACI D~ve'F!;~ill R.lpIJfIlllTl::i ">I,,m(i:\l)(I)l~.j i.J/;',' STEVEN W. BARRETT REAL ESTATE I lu,u 1.~IDld IIGt IlIspeel Property Slole PA Stale PA ~,~u" FlAm lG(J4 6 ~j SKETCH/AREA TABLE ADDENDUM Case No ---. ------ ----- --------.--------- --- P!()P13rty~~~r~~s_~ine Road ______~_ ___________ . ~ity Carlisle C()unty ~LJrT1~lIrlan~___. Borrower Charles S. WILLIAMSON Est. .- - ----_._---_._-----_._--~-~------ Lender/g!i~nt .lr\\IinLMc~ll!h.! ~!ILJl!~~_____ Appraiser Name Stan A'l;kowronek File No 01-0568 Slate PA __. _. ___Zip_17013 L/~ A~~~~_60~e~!I"()rT1frllt_~tre~t.c:~rl~sI8.!'~~7013 _ J'.ppr J>..dd!Elss_126. N.orth Hanover_l;trllllt._c:~rlisle. PA 17013 / / ~// / // Bedroom Bath Bedroom L 7 r. 0'?) ~ <j~' Living Room ,/// . Kitchen Comments: Code GLA1 pip GAR DescrIption - -"1 riit-Fioo-r-. Porch Garage Size .----------- 1120.00 88.00 576.00 Totals 1120.00 88.00 576.00 Scale: 1 = 12 '"".~':~c:..=""EAKDD~.,, I 28.0 x 40.0 1120.00 I I I i AREA CALCULATIONS SUMMARY . TOTAL LIVABLE (rounded) 1120 1 Area Total (rounded) 1120 APEX SOFTWARE 800.858-9958 Apx8100-w ApexU ,:;(;-18-."".11 hl:;g ",,",'CI'>'N< ':, I r:: rFI'~T'\F"T QPNCBA.N< DocCde1at Repcn1iag Fimside Center P7-PFSC-4-F 500 First Avenue Pittsburgh, PA 15219-3128 August 9. 200 1 Roger B. Irwin 60 West Pomt'm Street Carlisle, PA 17013-3222 RE: Estate of Charles S. W1I1ia:mson, Deceased SSN: 162-22-5333 ooD: 6125/2001 Dear Mr. Irwin: Please find the date of da!b b~ you MV1: ICqllClltcd 1isted below. CERTIFICATES OF DEPOSIT #11001051509 CHARLES S WILLIAMSON OOD Balance: 510,000.00 + $69.70 accruc:d interest #31900111944 cHA.R.LES S WILLIAMSON DOD Balance: S 11.000.00 + 5120.69 acaued interest Page 1 of2 A ......~ at 11K PflC Financial Semccs -p On. PNC PI... 249 Fiflh Avenue PItt-llurgn __MOl' 15222 27[J/ 08/10/01 09:03 .J!;: 7ffi iXI57 P. ;] 1, ,l;' ISCP Established 02.103/1994 Eetablisbed 11/28/1997 TX/RX NO.9069 P.001 . A1.li-W-2fl(l1 10: 28 FNCBI'N< elF ~T1'ENT .11;' ,;,\15 .X1S7 P.O;;/ct;' a PNCBAN< Our ofDee OIlI, provide! date 0( Cleath balaata for IRA's, CD's, Checking and SaviDp acco_tl. We do ~ FlDaRcJal TraDSaetloDll or Statemeat Orders. For Furtber InformatioD please call1-800+BANKER or yonr toeal PNC BtaJlc:h and ask to speak ",lib . FInancial Suviees Rep1'lleDtativ8. Sincerely, @onrulli- ~ Rachelle Sciullo 1-800-762-1775 Page 2 oi2 " _Hr of The PNC f"1IllIIlOaI SeMfts Grau, 0". PNC PI... 249 flfth Av..... PitUbu",h Pt~ani. 15222 21fJ1 TOTFL P. 02 08/10/01 09:03 TX/RX NO.9069 P.002 . \P)[~~U\g~'D'.\ \l\\ " ~J , , '(~ . " '( 0 (I ; :'~, ".) \) i\.J~ :'J -,.; ~M&TBank August 2, 200 I I\~l\~ c '1\IG\j[\ IRWIN! i\f\(;\~~ \Jell ~ \iu ' tI[.; RE: Estate Search The Estate of: Date of Death (0.0.0.) Charles S. Williamson 6/25/200 ) To Whom It May Concern: Identified below is the account information requested. 1. M&T Bank accounts in which the decedent's name appears: Account Account Number Account Title Opening Branch 0.0.0. Type Balances (Includes Accr. Int. ) Checkings 445126 Charles S. Williamson 4331 $6,953.60 CD 31003910059087 Charles S. Williamson 4331 $5,034.89 Intrest Rate 5.4% CD 31003910107787 Charles S. Williamson 4331 $13,209.36 Intrest Rate 5.4% CD 31003910109858 Charles S. Williamson 4331 $20,301.07 Intrest Rate 5.4% CD 31003910124541 Charles S. Williamson 4331 $10,059.43 Intrest Rate 4,16% CD 31003910129856 Charles S. Williamson 4331 $10,053.75 Intrest Rate 5.15% CD 31003910160462 Charles S. Williamson 4331 $8,159.58 Intrest Rate 5.15% CD 31003910189678 Charles S. Williamson 4331 $5,047.06 Intrest Rate 4.75% CD 31003910204040 Charles S. Williamson 4331 $4,010.24 Intrest Rate 5.83% CD 310039102562953 Charles S. Williamson 4331 $6,076.76 Intrest Rate 5.1 % 2. Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount Owed Account Description Accrued Interest $.00 $34.89 $290.36 $301.07 $59.43 $53.57 $159.58 $47.06 $10.24 $76.76 A Safe Deposit Box titled in the Decedent's name existed at our Mount Holly Springs office. The Safe Deposit Box Number is 0000059. If you have any questions about the information provided, please contact our Records Department at (716) 635-4010 or 1-800-724- 2440 outside of the Buffalo, NY calling area. Thank you. Manufacturers and Traders Trust Company · 1100 Wehrle Drive, Po. Box 767, Buffalo, NY 14240-0767 m1M&rBank Sincerely, M&T BANK CORPORA nON BY: cA1'1 tCuH I ~ M y\ --1A~kllWp c t/,=:::' Authorized Signature DATE, ~I~/~\I Manufacturers and Traders Trust Company · 1100 Wehrle Drive, Po. Box 701, Buffalo, NY 14240-0767 ~ ORRSTOWN BANK TO: Law Offices Irwin McKnight & Hughes West Pomfret Professional Building 60 West Pomfret Street Carlisle, PA 17013 FROM: ORRSTOWN BANK P.O. BOX 20 SHIPPENSBURG PA 17257-0250 RE: ESTATE OF Charles S. Williamson DECEASED DATE OF DEATH: June 25,2001 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD, ON THE ABOVE DATE, THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: (1) CHECKING ACCOUNTS DATE OF DEATH ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPLE & ACCRUED INTEREST 400432 Charles S. Williamson 3-28-94 $933.16 .42 (2) SAVINGS ACCOUNTS DATE OF DEATH ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPLE & ACCRUED INTEREST (3) CERTIFICATES OF DEPOSIT DATE OF DEATH ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPLE & ACCRUED INTEREST 5060058965 5060060484 Charles S. Williamson 10-14-97 Charles S. Williamson 5-30-98 $5,000.00 $44.80 $30,000.00 $77.00 Date:_7-9-01 By: Timothea Customer Service Operator PO Box 250 · Shippensburg. PA 17257 · (717) 532-6114 . (717) 532-4143 Fax. www.orrstown.com COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT IRWIN ROGER B ESQ 60 W POMFRET ST CARLISLE, PA 17013 ____nn fold ESTATE INFORMATION: SSN: 162-22-5333 FILE NUMBER: 21-2001- 0620 DECEDENT NAME: WILLIAMSON CHARLES S DATE OF PAYMENT: 09/24/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 06/25/2001 NO. CD 000297 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $8,988.63 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: ROGER B IRWIN CHECK# 17912 SEAL INITIALS: DO RECEIVED BY: REGISTER OF WILLS $8,988.63 MARY C. LEWIS REGISTER OF WILLS \ /6 -:;.yo.. /.;V COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z8060l HARRISBURG, PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN ROGER B IRWIN ESQ IRWIN ETAL 60 W POMFRET ST CARLISLE PA 17013 11-05-2001 WILLIAMSON 06-25-2001 21 01-0620 CUMBERLAND 101 *' REY-1547 EX AFP llZ-DDI CHARLES S Allount Rellitted (9) (10) CHANGED (1) (2) (3) (4) (5) (6) (7) 92.000.00 .00 .00 .00 146.171. 09 .00 .00 (8) 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 ~ REY=is4;-i3f-AFP--fi"2-':oOY-NOT"ici--OF-YNHiifiTANCi-TA)rAPPRA-isiMENT~--AL'rOWANci-ciR-------------- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WILLIAMSON CHARLES S FILE NO. 21 01-0620 ACN 101 DATE 11-05-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax I~ an assessment was issued previOUSly, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due NOTE: 11.502.03 11.408.68 Ul) (2) (13) (14) .00 X 210.260.38 X .00 X .00 X NOTE: To insure proper credit to your account. submit the upper portion of this forll with your tax paYllent. 238.171. 09 ??910 11 215.260.38 5.000.00 210.260.38 00 = 045 = 12 = 15 = .00 9.461.72 .00 .00 9.461. 72 (9)= TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) PAYMENT MUST BE MADE BY 03-25-2002*. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 9.461.72 INTEREST AND PEN. .00 TOTAL DUE 9.461.72 · IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before Dece.ber 12, 1982 -- if any future interest in the estate is transferred in possession or enjoy.ent to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Co..onwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the require.ents of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140). Detach the top portion of this Notice and submit with your pay.ent to the Register of Wills printed on the reverse side. --Make check or .oney order payable to: REGISTER OF HILLS. AGENT A refund of a tax credit, which was not requested on the Tax Return, .ay be requested by co.pleting an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-13l3). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour answering service for for.s ordering: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). Any party in interast not satisfied with the appraisement, allowance, or disallowance of deductions, or assess.ent of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Departaent of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assesssent should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-150l) for an explanation of ad.inistratively correctable errors. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (57-) discount of the tax paid is allowed. The 157- tax a.nesty non-participation penalty is co.puted on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax a.nesty period. This non-participation penalty is appealable in the saae aanner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) .onths and one (1) day from the date of death, to the date of pay.ent. Taxes which beca.e delinquent before January 1, 1982 bear interest at the rate of six (67-) percent per annum calculated at a daily rate of .000164. All taxes which beca.e delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Depertment of Revenue. The applicable interest rates for 1982 through 2001 are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 207- .000548 1992 97- .000247 1983 167- .000438 1993-1994 77- .000192 1984 117- .000301 1995-1998 97- .000247 1985 137- .000356 1999 77- .000192 1986 107- .000274 2000 87- .000219 1987 97- .000247 2001 97- .000247 1988-1991 117- .000301 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assess.ent. If pay.ent is aade after the interest computation date shown on the Notice, additional interest .ust be calculated. /6' -~-</LJ ,- /~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z806 0 1 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-IU1 EX AFP IIZ-DDI ROGER B IRWIN ESQ IRWIN ETAL 60 W POMFRET ST CARLISLE 1)1 NlV 26 All:4 7 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-19-2001 WILLIAMSON 06-25-2001 21 01-0620 CUMBERLAND 101 CHARLES S f1tecorded,i)~fIJf Register of WlIIs Clerk-O!).<' ,s Court .tmlMe$and Co., PA Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i6ifj-E3f-AFP-fi'2-:ooY------...--iNHERITANc'E-fAx-sTA-YEM'Etif-ifF-ACCOUiiy--.-i.--------------------- ESTATE OF WILLIAMSON CHARLES S FILE NO.21 01-0620 ACN 101 DATE 11-19-2001 THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NA"ED ESTATE. SHOWN BELOW IS A S~ARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAY"ENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-05-2001 P R I NCI PAL TAX DUE: ........................................................................................................................................................................................................................... 9,461.72 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 09-24-2001 CDOO0297 473.09 8,988.63 TOTAL TAX CREDIT 9,461.72 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. J " 'J: , PAYMENT: Detach the top portion of this Notice and submit with your paYMent made payable to the naMe and eddress printed on the reverse side. If RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEDENT make check or Money order payable to: COMMONWEALTH OF PENNSYLVANIA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, May be requested by cOMpleting an ftApplication for Refund of Pennsylvania Inheritance and Estate Taxft (REV-1313). Applications are available at the Office of the Register of Wills, any of the Z3 Revenue District Offices or frOM the DepartMent's Z~-hour answering service for forMS ordering: 1-800-36Z-Z050; services for taxpayers with special hearing and I or speaking needs: 1-800-~~7-30Z0 (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA DepartMent of Revenue, Bureau of Individual Taxes, ATTN: Post AssessMent Review Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601, phone (7171 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (57-) discount of the tax paid is allowed. PENALTY: The 157- tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax aMnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) Months and one (1) day from the date of death, to the date of paYMent. Taxes which becaMe delinquent before January 1, 198Z bear interest at the rate of six (67-) percent per annUM calculated at a daily rate of .00016~. All taxes which becaMe delinquent on and after January 1, 198Z will bear interest at a rate which will vary frOM calendar year to calendar year with that rate announced by the PA DepartMent of Revenue. The applicable interest rates for 198Z through ZOOI are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 198Z Z07- .0005~8 199Z 97- .000Z~7 1983 167- .000~38 1993-199~ 77. .00019Z 198~ 117- .000301 1995-1998 97- .000Z~7 1985 137- .000356 1999 77. .00019Z 1986 107- .000Z7~ ZOOO 87- .000Z19 1987 97- .000Z~7 ZOOI 97- .000Z~7 1988-1991 117- .000301 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If paYMent is Made after the interest cOMputation date shown on the Notice, additional interest must be calculated. I , / h-eJ ~{}..../ cZ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIYISION DEPT. Z80601 HARRISBURG. PA 171Z8-0601 sf.. o COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT ReGarded Office otDATE Register VVtlls ESTATE OF DATE OF DEATH FILE NUMBER '01 NOV 30 P 3 :1'UNTY ACN ROGER B IRWIN ESQ IRWIN ETAL 60 W POMFRET ST CARLISLE Clerk-C PA 1701~,llmberlanc1 11-20-2001 WILLIAMSON 06-25-2001 21 01-0620 CUMBERLAND 101 Allount RelliUed *' REY-15'S EX AFP 112-DD> CHARLES S Court Co., PA MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iifi:is9:i-ix--AFFi-fi2-:oo1------.-.-iN-HERi-YANc:E-TA-i-RE-CORif-AOj-USTM-ENT-ii.----------------------------- ESTATE OF WILLIAMSON CHARLES S FILE NO. 21 01-0620 ACN 101 DATE 11-20-2001 ADJUSTMENT BASED ON: VALUE OF ESTATE: ADMINISTRATIVE CORRECTION 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hartgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adllinistrative Costs/ Miscellaneous Expenses (Schedule H) Debts/Mortgage Liabilities/Liens (Schedule Il Total Deductions Net Value of Tax Return Charitable/Governllental Bequests; Non-elected 9113 Trusts Net Value of Estate Subject to Tax 10. 11. 12. 13. 14. TAX: 15. Allount of Line 14 at Spousal rate 16. Allount of Line 14 taxable at Lineal/Class A rate 17. Allount of Line 14 at Sibling rate 18. Allount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: (1) (2) (3) (4) (5) (6) (7) 92,000.00 .00 .00 .00 146,171. 09 .00 .00 (8) 238,171.09 22,910.71 215,260.38 5,000.00 210.260.38 .00 9.461.72 .00 .00 9.461.72 .----. . (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 09-24-2001 CDOO0297 473.09 8,988.63 TOTAL TAX CREDIT 9.461.72 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (9) (10) 11,502.03 11,408.68 (11) (12) (13) (14) IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) (Schedule J) (15) (16) (17) (18) .OOX 00 = 210.260.38X 045= .OOX 12 = .OOX 15 = (19) PAYMENT: Detach the tDP pDrtiDn Df this NDtice and subait with YDur payaent aade payable tD the naae and address printed Dn the reverse side. -- Make check Dr aDney Drder payable tD: REGISTER OF WILLS, AGENT. REFUND (CR): A refund Df a tax credit, which was nDt requested Dn the Tax Return, aay be requested by cDapleting an "ApplicatiDn for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register Df Wills, any of the Z3 Revenue District Offices or froa the Departaent's Z4-hour answering service fDr foras ordering: 1-800-36Z-Z050; servicas for taxpayers with special haaring and I or speaking naeds: 1-800-447-30Z0 (TT only). REPLY TO: QuestiDns regarding errors cDntained Dn this notica should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: PDSt Assessaent Review Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601, Phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allDwed. PENALTY: The 15% tax aanesty nDn-participation penalty is coaputed on the total of the tax and interest assessed, and nDt paid befora January 18, 1996, the first day after the end Df the tax aanesty period. INTEREST: Interest is charged beginning with first day of dalinquency or nina (9) aonths and Dne (1) day froa the date Df death to the date Df pay.ent. Taxes which becaae delinquent before January I, 198Z bear interest at the rate of six (6%) percent per annua calculated at a daily rate Df .000164. All taxes which becaae delinquent on and after January I, 198Z will bear interest at a rate which will vary frDa calendar year tD calendar year with that rate announced by the PA Depart.ent of Revenue. The applicable interest rates for 198Z through ZOOl are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 198Z ZO% .000548 199Z 9% 1983 16% .000438 1993-1994 n 1984 11% .000301 1995-1998 9% 1985 13% .000356 1999 n 1986 10% .000Z74 ZOOO 8% 1987 9% .000Z47 ZOOl 9% 1988-1991 11% .000301 .000Z47 .00019Z .000Z47 .00019Z .000Z19 .000Z47 --Interast is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation tD fifteen (15) days beyond the date of the assess.ent. If payaent is aade after the interest computation date shDwn on the Notice, additional interest must be calculated. . ' . REV-1470 EX (6-88) *' INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FILE NUMBER WilLIAMSON, CHARLES S 2101-0620 REVIEWED BY ACN Bryan Rondon 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES Receipt# CD000297 applied to the estate. ROW Paqe 1 '5~ c.. STATUS REPORT UNDER RULE 6.12 Name of Decedent: CHARLES S. WILLIAMSON Date of Death: June 25. 2001 No. 21-01-0620 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 ofthe estate is complete: ~ Yes _ No 2. Ifthe answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. Ifthe 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? ----L- Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphan's Court and may be attached to this report. Date: 1/7102 / ( '3.dL. ',,,' ,', !. . . ! ~ :~:~;~ "t':;, o CJ) (.)Q) 12tr. :z:: c=:: -, . "i) ..:- b -c s= ,1:> = -- .... :.>u Roger B. Irwin. Esquire Name (please type or print) 60 West Pomfret Street Address Carlisle. P A 17013 City, State, Zip (717) 249-2353 Telephone Number ........ ("I co II:' (VI CI... o - ~ Capacity: Personal Representative X Counsel for Personal Representative