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HomeMy WebLinkAbout01-0331 # Estate of MARY R. BALTES also known as PETITION FOR PROBATE and GRANT OF LETTERS No. c:L I" 0 '''33 I To: Social Security No. 196-03-5663 , Deceased. Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut or in the last will of the above decedent, dated and codicil(s) dated named March 7, 200f) 19 ,- (state relevant circnmstances, e.g. renunciation, death of executor, etc.) .Oecendent was domiciled at death in Cumberland County Pennsylvania, with hIS last family or principal residence at 1224 North Vme Avenue, Tucson, AZ 8571Y-4552 (list street, number and muncipality) Oecendent, then 83 at Pima County, Arizona 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: years of age, died March 16,2001 , 19 Oecendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 1831 Basin Hill Boulevard, Carlisle, P A 17013 $ $ $ $ 146,000.00 Authenticated probate records from Arizona accompany this Petition WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary )./YLC' I (testamentary; administratio c.I.a.; administration d.b.n.c.l.a.) theron. i~~ ~_ _ C'- '5 -{: ~Ul A. Ba tes, Jr. ~" 1~ -:l ~ 1224 North Vine Avenue ~:~ - . Tucson, AZ 85719-4552 _ c. ~a.. 2~ :J ~ g OJ) Vi OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I,,, r ::;::; COU NTY OF Cumberland J The petitioner(s) above-named swear(s) or affirm(~ that the statements in the foregoing petition are true and correct to the best of the knowledge and beifef etitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) wiII wand ly ad he estate ording to law. ~ CI) ~. ::! l::l .... l:: ~ ~ Sworn to or before me this March /!o-JJ-~ No. 21-01-0331 Estate of MARY R. BALTES. , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW March 28 ,2001 19_, 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 March 7,2000 described therein be admitted to probate and filed of record as the last will of Mary R. Baltes and Letters Testamentary ANCILLARY are hereby granted to Paul A. Baltes, Jr. fi/OJtlll~ ,X ~jjJ(~ ;pu' (!,(2,'~LJ.r;)##~ Regbter of Wills ANCILLAR1EES P b L E $ 235.00 ro ate, etters, tc.......... Short Certificates( 2) . . . . . . . . .. $ 6.00 B&aftiaftRmE~~~4~fA~~.~QPJ. 74.00 JCP $ 5.00 TOTAL _ $ 320.00 Filed .~RG~. ?~,. . ?P.Q t . . . . . . . . . . . . . . . . . James D. Flower, Jr., Esquire #27742 ATIORNEY (Sup. Ct. I.D. No.) 26 West High Street, Carlisle, P A 17013 ADDRESS 717-243-6222 PHONE CALLED ATTORNEY MARCH 29, 2001 AUTHENTICATION STATE OF ARIZONA) ss COUNTY OF PIMA ) cJ/~ 0/-3,-':1/ CERTIFICATE BY CLERK I, PATRICIA A. NOLAND, duly elected, qualified and acting clerk of the Superior Court of the State of Arizona, in and for the County of Pima, do hereby certify and attest the following to be a full, true and correct copy of the original In the Ma t t e r 0 f the Estate of: MARY R. BALTES, deceased. Case No. P2001-0227, at the time of death decedent was domiciled in the County of Pima, State of Arizona. Probate proceedings were Informal. Last will & Testament of MARY R. BALTES dated March 7, 2000, filed March 22, 2001. Application for Informal Probate of will & Appointment of Personal Representative filed March 21, 2001. Statement of Informal Probate of Will and Appointment of Personal Representative filed March 22, 2001. Letters of Personal Representative and Acceptance filed March 22, 2001. Still in full force and effect. The foregoing documents are on file in my office, and that I have carefully compared the same with the original, executed and proved agreeable to the laws and usages of the State of Arizona. IN WITNESS WHEREOF, I have hereto set my hand and seal of the Superior Court of Pima County, State of Arizona, this day of March 22, .200] ~.. , c:~~:e~f!,~ UNITED STATES OF AMERICA) STATE OF ARIZONA ) ss COUNTY OF PIMA ) CERTIFICATE OF JUDGE Cl~.r; 1/ I, , Judge of the Superior Court of the State of Arizona, in and for the County of Pima, do hereby certify that Patricia A. Noland is Clerk of the Superior Court of the State of Arizona, in and for the County of Pima, which is a Court of Record, having a seal; that the signature of the foregoing certificate is the genuine signature of said Patricia A. Noland as such officer; that the seal annexed thereto is the seal of said court; that Patricia A. Noland, as such Clerk, is the proper officer to execute the said certificate and attestation; that such attestation is in due form according to the laws of the State of Arizona, and that full faith and credit are and of right ought to be given to her official acts as such, in all courts of r r in the United States and elsewhere. IN WITNESS WHEREOF, I have hereto set my hand and seal of the Superior Pi County, State of Arizona this__ day of March 22, ,2001 CERTIFICATE OF CLERK UNITED STATES OF AMERICA) STATE OF ARIZONA ) ss COUNTY OF PIMA ) I, P~TRICIA A. NOLAND: Clerk of the Superi\E E~~ Qf ~rye S!~te ()f ~~ona, in and for the County ofPi~a, whic~ is a court of rec~rd, havmg a seal, do hereby certify that ".. J , ' 1] fJ ::;,.., , whose name is subscnbed to the foregomg certificate of due attestation, now is and was at the time of signing and sealing the same, Judge of the Superior Court of the state of Arizona, in and for the County of Pima, and was duly commissioned, qualified and authorized by law to execute said certificate, and I do further certify that the signature of said Judge of the Superior Court to said certificate is genuine, that full faith and credit are and of right ought to be given to all his official acts as such, in all courts of record in the United States and elsewhere.. IN WITNESS WHEREOF, I have hereto set my hand and seal of the Superior Court of Pima County, State of Arizona this day of March 22 . 200] 6~: ~ ~ _~r~~ Clerk of the Su rior ourt 18-1(>9 (12/98) . ' MaryR. Baltes (Will) (3!7100) FILED ~::ATR~CL:~ t'\.. NOLAND .-~l.!~~.~-' '." _:?~:'~!GR COURT o I MAR 22 Af1 9: 06 11Iast 1lIt11 attb Qrestattttttl p ?0010 2.2.1 ~ .... BY: S.RIVERA. DEPUTY OF MARY R. BALTES I, MARY R. BALTES, of the North Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all former Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made. FIRST: I hereby order and direct my Executors, hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be conveniently done after my death, out of my residuary estate. SECOND: I give, devise and bequeath all of my property of whatsoever nature and kind and wheresoever situate at the time of my death to my children in equal shares, the child or children of any deceased child taking the share the parent would have taken if living. LASTL Y: I nominate, constitute and appoint PAUL A. BALTES, JR., to be the Executor of this my Last Will and Testament. Should PAUL A. BALTES, JR., be unable to act, renounce or refuse to serve for any reason, or die leaving any part of my estate unadministered, I nominate and appoint LAWRENCE J. BALTES to act as Executor in his place and stead. No Executor shall be required to file bond in this or any other jurisdiction. Mary R. Baltes (3/7/00r IN WITNESS WHEREOF, I have hereunto set my hand and seal this t+k day of y1{~olt , ,2000. '1~ ./f1 /2 /;:r .>1}) c.Z/U1 J \' ; {">-'" a-A..::....-~ /fV1ary R. Baltes v' SIGNED, SEALED, PUBLISHED and DECLARED in the presence of: 2 ~ary R. Baltes (3/7/00) COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND I, MARY R. BALTES, Testatrix, whose name is signed to the attached or . foregoing 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. Sworn or i3ffirmed to and acknowledged before me, by MARY R. BALTES, the Testatrix, this 1TTl day of ~rrlltcJL- ,2000. // f? /1 rl-r. /...7;h 'z/"~ I...J, . j.t...:J-:..../ -~, /./,1 / / ':./ Mary R. Baltes, Testatrix ~jLuitCL-7{'Y3a Ile~ Notary Public U NOT..\Iat,l :;;:Al I T""''''''! ~ .'1' ""'.~ _'.. l n.1~ _ -~.t...:""J :~-.il.-.Jrf ("'J~ue ~ ~~!;lll'l~~" .ow'!;)., Cume.lr1;;:;l1d Co., ~A I '<'\Y Cc:rnmlUion r.7.olrtn Aug. i 2, 1002 t I '"I .J 'M~ R. Baltes (3/7/fJrf) COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND We, Jtl.rreJ 'D. ;-/OL0~f,..JY. and / hamas 1:::-' ~/(jt..c./e~ the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me b~ameJ D. RtLr.:er:.Jr: and / fw rY1{lj Eo i-:: !OLV€'; 2000. this '7th day of 7YIJ rch \ NOT A5l!AL SEAl. ntlClA L 3,l\1ll:"Y, ~-.lcIc:ry !'ubtlc Sovl'i!<::m,.,ton r....p., C"mCtoIi,cmg Co., ~A '. '.' :'~;"~~::~:~~~.:~~~.~~~:~~~~.2_::.:3~~ 4 Michael C. Young DUFFIELD, YOUNG, ADAMSON & ALFRED, P.C. 3430 E. Sunrise Drive, #200 Tucson, AZ 85718-3210 520/792-1181 PCC No. 63972 , FILED 01 MAR 21 AM /2: 24 .- ,. .... ....- !'~ . , I~\ j : \....-~, _ J ~~E~~. -._."'0 '.'" :EF~.JTY SUPERIOR COURT OF ARIZONA, PIMA COUNTY In the Matter of the Estate of No. P 2 0 0 1 0 22 7 Deceased ) ) ) ) ) ) ) APPLICATION FOR INFORMAL PROBATE OF WILL AND APPOINTMENT OF PERSONAL REPRESENTATIVE MARY R. BALTES ~ f- Z t&J l.I.I ~ o a:: 0.. 1. This Application is made by PAUL A. BALTES, also known as PAUL A. BALTES, JR., who is entitled to file this Application under ARS 914-3301 because he is an adult child of the decedent. 2. Decedent died on March 16, 2001 at the age of 83 years. At the time of death, decedent was domiciled in Pima County, State of Arizona. 3. The original of decedent's Will dated March 7,2000, is filed with this Application. 4. Decedent left surviving the following persons who are the surviving spouse, children, heirs and devisees of decedent: Name and Address Age HeirIDevisee Relationship Lawrence J. Baltes 1637 Central Avenue Fullerton, CA 92831 Adult HeirIDevisee Son Michael P. Baltes 30 Milestone Estates, Box B-14 Hawley, PA 18428 Adult Heir/Devisee Son Paul A. Baltes 3770 E. Placita de Piacho Tucson, AZ 85718 Adult Heir/Devisee Son PCC No. 63972 l~ (10/97) PB-101, P.t \, \ \ I ~ 5. Venue for this proceeding is in this county because decedent was a domiciliary of this county at the time of death. 6. No Personal Representative for decedent's Estate has been appointed in this state or elsewhere. 7. Applicant has not received a demand for notice and is not aware of any demand for notice by any interested person of any proceedings concerning decedent in this state or elsewhere. 8. Applicant believes that the Will dated March 7,2000, was validly executed and is decedent's last Will and, after the exercise of reasonable diligence, Applicant is unaware of any instrument revoking the Will. 9. The time for informal probate and appointment has not expired under ARS S 14-3108 because less than two years have passed since decedent's death. 10. Applicant states that PAUL A. BALTES of3770 E. Placita de Piacho, Tucson, AZ 85718, has priority for appointment as Personal Representative under the Will pursuant to the provisions of ARS S 14-3203 because he is nominated as Personal Representative in decedent's Will. 11. Bond is not required of the Personal Representative under ARS S 14-3603 because it has been waived in the Will. Applicant requests that decedent's last Will be admitted to informal probate and that PAUL A. BAL TES be appointed as the Personal Representative to administer decedent's Estate without bond. DATED this 19th day of March, 2001 ,') , ,,1.:;7.,....,' , ""'(' ,. -'" .... ii" L~.f,:" ,:"'/. ' 2::'- I -/ ' Appli~ant: PAUL A. BALTES Address: 3770 E. Placita de Piacho Tucson, AZ 85718 pee No. 63972 (10/97) PB-I0l, P.2 ; ;, , STATE OF ARIZONA ) ) ss. COUNTY OF PIMA ) The undersigned, being duly sworn, states as follows: I am the A.pplicant in the foregoing Application; and that the statements in the Application are accurate and completeyithe best ofmYlknowledge~d belief. r-".:..:t~'l'~'/~ ./.;;>. . .' /' ..<-.......-<-...,/ ' ':;;. 'c. ,0' ./ / ,--.."J-' '~,l, ,-"..:'" ,-"~~.<""'; PAUL A. BALTES SUBSCRIBED AND SWORN TO before me on this 19th day of March, 2001 by PAUL A. BALTES. n~{}uc" l2vl V1W'- Notary P blic My Commission Expires: ...".i"',ji....,!'.,.^".-"';;">-.;-..,....-...._...,'-,~J"~.:.,~.,~., :Ji"iC/AL SE/ . '"I' E ARNESO ~,! NOTARY PUBLIC . ARIZ.C~.!; PiM,4, COUNTY ~~e PCC No. 63972 (10/97) PB-IOI, P.3 Michael C. Young DUFFIELD, YOUNG, ADAMSON & ALFRED, P.C. 3430 E. Sunrise Drive, #200 Tucson, AZ 85718-3210 520/792-1181 PCC No. 63972 r-it}:.'2tnLANO ,:;, ~_.,. ~'1":\ ,!~ ,,:.=.: /~ \~OURl .~,:..l~;.,::.l_l" \ r:': ,:\,_~:.\ ".7 ',' - . ~ 58 o \ \,\~R 2. '2 M~ 8 B'f:S, R\'it:.RA. OE.P\Jl't' SUPERIOR COURT OF ARIZONA, PIMA COUNTY In the Matter of the Estate of No. P ~ 0 a 1 0 227 Deceased ) ) ) ) ) ) ) STATEMENT OF INFORMAL PROBATE OF WILL AND APPOINTMENT OF PERSONAL REPRESENT A TIVE MARY R. BALTES An Application for Informal Probate of Will and Appointment of Personal Representative has been submitted by PAUL A. BALTES, requesting admission to probate of the Will of decedent dated March 7, 2000, and the appointment of PAUL A. BALTES as the Personal Representative to administer decedent's Estate. The undersigned has found compliance with ARS 914-3303 and 914-3308 and is satisfied that said Will is entitled to probate and that PAUL A. BALTES is entitled to appointment as Personal Representative under all applicable provisions of ARS Title 14, Chapter 3, Article 3. THEREFORE, the Will of MAR YR. BALTES dated March 7,2000, is admitted to informal probate. FURTHER, PAUL A. BALTES is appointed as Personal Representative of decedent's Estate without bond and Letters shall be issued upon said Personal Representative accepting. FURTHER, the Personal Representative shall immediately notify the Court in these proceedings of any change in address and shall be responsible for all costs resulting from failure to do so. DATED this rJ:2 day offArJA c/^-- ,2001 < 0(- ~ . _ 1 &u.~-/. / ()(/i/t1.x/Lk Registrar (j -- PCC No. 63972 (10/97) PB-l 05 . fiLED NO ':JA-:::W"" t;. I~. {'\!OLo. T ,:",.l .....J, ,_..~.'\(1g COUR .. ' Michael C. Young DUFFIELD, YOUNG, ADAMSON & ALFRED, P.C. 3430 E. Sunrise Drive, #200 Tucson, AZ 85718-3210 520/792-1181 PCC No. 63972 0\ Mi\R 22 AM 9: 08 BY: S. R\VERA, OEPUTY SUPERIOR COURT OF ARIZONA, PIMA COUNTY MARY R. BALTES ) ) ) ) Deceased ) No. P , n 0 1 n 22 7 In the Matter of the Estate of LETTERS OF PERSONAL REPRESENTATIVE AND ACCEPTANCE (Testate Estate) ISSUANCE OF LETTERS PAUL A. BALTES is hereby appointed as Personal Representative of this Estate without restriction except for the following: No Restrictions WITNESS: "IYl(1~ d~ ,2001 ',PA TRIC!A CA~"- NOLAND- Oerk of the Superior Court ..p~,~~~ Deputy Clerk STATE OF ARIZONA ) ) ss. COUNTY OF PIMA ) ACCEPTANCE I hereby accept the duties of Personal Representative of the Estate of the above-named decedent and do solemnly swear that I will perform, according to law, the duties of such fiduciary. -; DATED this 19th day of March, 2001 "-'1"'/ - " /c:~7$(3< I ' Name: PAUL A. BALTES Address: 3770 E. Placita de Piacho Tucson, AZ 85718 -') ~,___",,_..SLLBSCRIBED AND SWORN TO before me on this 19th day of March, 2001 by PAUL A. BALTES. ,; tm/.... MAOrfrA\-" -' -2\':l/}A II~ (J - $, ~l' ' NOTARy"P:,3C:,.: . _,c .,,\~ rut t. (~ tJ.-C>-V"- M~~-,-' i~siB~ifes: Notary P lie , ~ ~lll ',,~i"'''''' :.XClrf ;--";- ,', .,..../'~-....... .._,'~~......."'" ...."...",..-..;,.~. /lt4.tftliP= Attorney's Si' n tur PCC No. 63972 (10/91) PB-l 07 ~ -- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: MARY R. BALlES , ~ r- Date of Death: March 16, 2001 Estate No.: 21-01 - 0331 To the Register: I certify that notice of the beneficial interest estate administration 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 April 2, 2001. Name Add ress Paul R. Baltes, Jr. 1224 North Vine Avenue, Tucson, Arizona 85719-4552 Michael P. Baltes 30 Milestone Estates, Box B-14, Hawley, PA 18428 Lawrence J. Bates 1637 Central Avenue, Fullerton, California 92831 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: April 2, 2001 lOIS, SHUFF, FLOWER & LINDSAY Name James D. Flower, Jr. Address 26 West High Street Carlisle, PA 17013 Telephone (717) 243-6222 Capacity: Personal Representative ~ Counsel for Personal Representative t ,.".~":- ~--w-'w--n-i, ~ II ~i'lir. - ] ~-?~-~I .- . 0 V?'N I ~~ ~ ~ ,! (ii' ~ ill '~~I~_;i.'~"m' ~ ..::1 )\, ~t ~ ~ ~~ 1. "'- )>:~." :",.:. ~ ~ ~'~"6V\ ~'\. (Q:y --'-~ ui '~~,,~ Ie:: :c uJj~.x.. tSsrn'fim, Ai.JJi.P1i3~~ :t; i~- ~~~ :x: <( at f/) ",~ ~. ~~.~;,~ SE ,. - .~ co .... 0 .... c:: C1J C COC1J>< '-0 >:;3CO 0 ...-lc:E-< 1 ~C1J~ ~ c:~Cil.-t...-l ~~.g~~ t:l-. 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W CD..... oc:r 0.. ...0 1€o :J 0('1') ~ I-- ~ru ~lIi LL <c >-U LL a: <( z 0 ::;E I- 0 <{ I-- UJ UJ I- Z UJ :2 UJ ::;E I- (f) :J I- CJ) ..J <c <c 0 0 <c w W iL z 0 0.. 0 0 a: CI) I I I I I I I I 1 I I I 001 ...Jj ='1 ~I 01 0:1 W. 1-1 06 001 fEl cr 0:1 w 3: I 0 .J I lJ.. I lJ.. I u. ::l r I I r.n wo I ..... .... I 0.... I ..... <t# 1 (l')~ u I OW I 'I UU I -l <{ I W CI) I I I I j I BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE February 15, 2002 IN YOUR REPLY PLEASE REFER TO: (717) 783-3836 MS MARY CLEWIS REGISTER OF WILLS CUMBERLAND CO COURTHOUSE 1 COURTHOUSE SQ CARLISLE PA 17013 Dear Ms. Lewis: Re: Estate of Mary R. Baltes File No.: 21-01-0331 County: Cumberland Date of Death: March 16, 2001 The subject decedent at death legally resided outside the state of Pennsylvania; accordingly, you are authorized to close your records for inheritance tax purposes. All other inheritance tax documents filed under your resident inheritance tax number for the subject decedent (if any) should be forwarded to this office at the address shown above. Included should be photocopies of all receipts for collection of inheritance tax in the subject estate which have been issued by your office. It is not necessary to return Departmental documents forwarded to your office under the nonresident file number as we maintain a file of all documents forwarded for the estates. All matters concerning this estate will be maintained under the Pennsylvania Nonresident File Number 99-02-0095. Thank you for your cooperation in this matter. Sincerely, John Murphy, Chief Inheritance Tax Division S-IT:INH13 PC2: 31 (mrl) ~~~ t ~~~-b, ~ ""- ~-l'i-Dd- ~ ~ E ~ ~ ~ o I u - r<) N) , -- <:) \ - ~ co q co .....- fVl I ~ ~ ; :E: IiI4 \'N o P .. " ,-:: S .J~ ~ ~ e = ~ ~ ~ /~8 ez J. f2 a ;:; i:s u ~; Ii !E 7 8~ ~ 8~ -t . ~ ~ ~ ~ ~ ~ 'i p I B di! iliS~'a J S .I~ i ihJJ J J I Do 02 t , f ! f ,,= 'ii,O ~ ! I I I . ! 'I ~ It- Ii fill J ,.~. ~ I hh ,. s i e. j J ! /(p-~o -f COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *0 BUREAU OF INDIVIDUAL TAXES INHERI~NCE TAX DIVISION .'DEPT. Z80601 HARRISBURG, PA 171Z8-0601 MICHAEL C YOUNG DUFFIELD ETAL 3430 E SUNRISE TUCSON NOTICE OF NONRESIDENT INHERITANCE TAX APPRAISEKENT, ALLOHANCE OR DISALLOHANCE OF DEDUCTIONS, AND ASSESSKENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN REV-557 EX AfP el2-UDl '02 111~Y -3 \;) -(lS. 1"J .'..' 05-06-2002 BALTES MARY R 03-16-2001 99 02-0095 r.2/- OI-3j l NON-RESIDENT 1\<..- 101 DR 20ct ': AZ ~'1ll~k Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: PA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY=S3Y-EX--AFP-Ti'2---00r-NOYYCE-OF-NONRES-iiiEirf-iNHERYfANCf-YAX-AP-PRAYSEME-NT;--ALLCfwANCf-OR---- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BALTES MARY R FILE NO. 99 02-0095 ACN 101 DATE 05-06-2002 TAX COHPUTATION HETHOD ELECTED: ( ) FLAT RATE (X) PROPORTIONATE TAX RETURN WAS: ( X) ACCEPTED AS FILED () CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Hortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets 134,799.92 .00 .00 .00 .00 .00 .00 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. (8) 134,799.92 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H) (9) 10. Debts/Hortgage Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests (Schedule J) 14. Net Value of Estate Subject to Tax .00 .00 (11) (12) (13) (14) .00 134,799.92 .00 134.799.92 NOTE: 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 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: PAYHENT RECEIPT DATE NUHBER 06-15-2001 AA496732 DISCOUNT (+) INTEREST/PEN PAID (-) 303.30 (15) .00 X 00 = .00 (16) 134,799.92 X 045 = 6,066.00 (17) .00 X 12 = .00 (18) .00 X 15 = .00 (19) 6,066.00 AHOUNT PAID 6,000.00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 6,303.30 ' 237.30CR .00 237.30CR ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT"' (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE " ~... .. ~ ., :IJ m G> UJ -i m :IJ 10 I"'T) ,:E 11= ,UJ I I I I I I I I I I I I I I I I I I I I I I I I (J) m )> r nn X...... 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'.aw' ~OMMONVllEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN NONRESIDENT DECEDENT ESTATE OF sa -- · I:' A, RARr 1 REPL l:Suu~ IN PEN\ISYUIANlA FILE NUMBER MARY R. BALTES Part 1 must include all real property owned by the decedent individually or as a tenant in common with another party(ies), having its situs in Pennsylvania. Property which is jointly-owned with right of survivorship should be disclosed on Schedule F. All real estate must be reported at fair market value which 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. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. 1831 Basin Hill Boulevard, Carlisle, PA. Value per net proceeds of sale 3/30/01, including real estate tax adjustment. 134,799.92 C~~\~y\uf\~ CV~'^\f ......-", ~. ...- 1"'1 I ';:;'- ~: '-~-- - N .- P ;;. ~ - J" "r.... -.......\,.......; RARr 1 "IO'IJU.. $ 134,799.92 RARr 2 "IO'IJU.. Proportionate Method Only from reverse side $ - "'ICJDU... (Also enter on line 1, Recapitulation) $ 134,799.92 (If more space is needed, insert additional sheets of the same size) I &-J-diJ -7 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN *' C- t.-' REV-415 EX iFP (01-02) '02 I'lIW - 3 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-06-2002 BALTES MARY R 03-16-2001 99 02-0095 02/-0/-3.3/ NON-RESIDENT 1\'""<.- 201 J~8 :08 MICHAEL C YOUNG DUFFIELD ETAL, 3430 E SUNRISE DR 20b~: _, TUCSON AZ &jjli~;'J Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 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 FILES ~ REV=48Y-EirAFP-Toi:-02i-----ii.-NifficE'-OF--DETE-RMiNATiifN-AND-AS-SESS-MEN.~f----------------------- ----- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN .. ESTATE OF BALTES MARY R FILE NO.99 02-0095 ESTATE TAX DETERMINATION ACN 201 DATE 05-06-2002 1. Credit For State Death Taxes as Verified 3,112.85 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 5,762.70 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed 5.762.70 5. Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 -IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) " vi ~ .... STATUS REPORT UNDER RULE 6.12 Name ofDecedent: ~ R. T).ff.Jl:/:o:; Date of Death: s-l' - CJ{ Will No.: Admin. No.: ;;J 00 J - 00 3'3 ( Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion ofthe administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 0 No ~ 2. If the answer is No, state when the personal represent1tive reasonably believes that the administration will be complete: 6-D ~ ~ 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 0 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 0 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' CO)lrt and may be attached to this report. Date: -; -,--~ --01 ~~~1}d-~ V .J ~ 0 Ftc..........Jr- Name A::'S (#. ~~ (k/ x.... ~rl - ~V-~-6 ).d~ Telephone No. Capacity: 0 Personal Representative g.emm.sel for personal representative / '~ Cumberland County - Register Of wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 ... Date: 2/07/2003 PAUL A. BALTES JR 1224 NORTH VINE AVENUE TUCSON, AZ 85719-4552 RE: Estate of BALTES MARY R File Number: 2001-00331 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. I, for decedents dying on or after July I, 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: 3/16/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, DONNA M. OTTO DEPUTY REGISTER OF WILLS cc: J File Counsel Judge Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/02/2005 FLOWER JAMES D JR 26 WEST HIGH STREET CARLISLE, PA 17013 RE: Estate of BALTES MARY R File Number: 2001-00331 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. I, for decedents dying on or after July I, 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: 3/16/2005 Your prompt attention to this matter will be appreciated. Thank You. ~:L~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge cJ . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 N f D d t Mary R. Baltes ame 0 ece en : Date of Death: March 16, 2001 Estate No.: 21-01-00331 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: I. State whether administration of the estate is complete: Yes 0 No ill 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 60 days 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 0 No 0 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 0 No D c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. )~6),~ . , 19nature ".-.....,. - ,) , 'J Date: 02-08-05 James D. Flower, Jr, Esquire Name 26 West High Street Carlisle, PA 17013 Address ! \..D 0) .,1:- 717-243-6222 Telephone No. Capacity: 0 Personal Representative o Counsel for personal representative c? Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/17/2006 FLOWER JAMES D JR 26 W HIGH STREET CARLISLE, PA 17013-2922 RE: Estate of BALTES MARY R File Number: 2001-00331 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. 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 is due by: 3/16/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) vb Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 PAUL A. BALTES JR 1224 NORTH VINE AVENUE TUCSON, AZ 85719-4552 RE: Estate of BALTES MARY R File Number: 2001-00331 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 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 is due by: 3/16/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans I Court cc: File Counsel ~{r . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 N f D d t Mary R. Baltes ame 0 ece en : Date of Death: March 16, 2001 Estate No.: 21-01-00331 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: I. State whether administration of the estate is complete: Yes 0 No 0. 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 60 days 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 0 No 0 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 0 No D c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. '- Date: March 16,2006 CT\ James D. Flower, Jr., Esquire Name 26 West High Street Carlisle, PA 17013 Address 717 -243-6222 Telephone No. Capacity: 0 Personal Representative o Counsel for personal representative V1 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 -, , - , Date: 2/25/2008 -) ;',', ~/ I ; j , _J f'.) c. PAUL A. BALTES JR 1224 NORTH VINE AVENUE TUCSON, AZ 85719-4552 c RE: Estate of BALTES MARY R File Number: 2001-00331 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. l~s 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 lS due by: 3/16/2008 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~-- ~ . . It, 1, .IJ /(Il..q~/I- ~ ~'mt',^l " kt'Zii?C..;AlU;r't../ A~b;.,Ul"/ rV"~~:4' dl.1j.-,~ ,-' ,/ / Glenda Farner Strasbaugh Clerk of the Orphans' Court :::::c: File Counsel . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 N f D d t Mary R. Baltes ame 0 ece en : Date of Death: March 16,2001 Estate No.: 21-01-00331 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, 1 report the following with respect to completion of the administration of the above-captioned estate: I. State whether administration of the estate is complete: Yes D No 0. 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 30 days 3. If the answer to No. I is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 0 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 0 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. D t March 17, 2008 a e: Name 26 West High Street Carlisle, PA 17013 Address 717-243-6222 Telephone No. l !J : Z Fd L! ~';/H Capacity: 0 Personal Representative o Counsel for personal representative RW1737.AEX(9-00) ,. FILE THIS RETURN WITH: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPl 280601 HARRISBURG, PA 17128-0601 REV.1737.A INHERITANCE TAX RETURN NONRESIDENT DECEDENT FilE NUMBER Otl 01_ COUNTY CODE YEAR 0331_ __ NUMBER I- Z W C W U W C DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL) Baltes, Mary R. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 03/16/2001 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST. AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 196-03-5663 SOCIAL SECURITY NUMBER w ...., ~:$(I) ull:~ wD.U J:OO ull:..J D.lD D. <I: 00 1. Original Return o 4. limited Estate I:R] 6. Decedent Died Testate (Mach copy of Will) [J 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date 01 death aner 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy of Trust) o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) D 3. Remainder Return (date of death prior to 12-13-82) D 5. Federal Estate Tax Retum Required _ B. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) METHOD THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS James D. Flower, Jr., Esquire FIRM NAME (If Applicable) Saidis, Shuff, Flower & Lindsay TELEPHONE NUMBER (717) 243-6222 REFER TO METHOD OF COMPUTATION IN THE NONRESIDENT DECEDENT INSTRUCTION BOOKLET (REV-1736) Check One: 0 Flat Rate 0 Proportionate (Complete Worksheet on Reverse Side) I- Z W o z o D. (I) W II: II: o U 26 West High Street Carlisle, PA 17013 .::- (1) 146,000.00 D (2) ': (3) " ..~ (4) -. (5) 719.72 -'-1 (6) (7) z o ~ -J :::) C c.. <t u w ~ 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 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 (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) ~~ l' , '-' C1 r.....) (8) 1,122.81 11,880.00 (11) (12) (13) (14) .. . . . : . I' X .0 (15) x.O~ (16) x .12 (17) x .15 (18) (19) 146,719.72 (9) (10) 14. Net Value Subject to Tax (Line 12 minus Line 13) 13,003.61 133,716.11 0.00 133,716.11 . . . . .. . . '1 I' .. . . . . 6,017.22 6,017.22 19. Tax Due - Make check payable to Commonwealth of PA CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT W o::Z wo :r:- ~ ~~ 0::) We.. :r::e 00 :r:O o ~~ ~~ <c 2000 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 133,716.11 16. 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Baltes SCHEDULE A, PART I REAL ESTATE IN PENNSYLVANIA FILE NUMBER 21-01-0331 Part 1 must include all real property owned by the decedent individually or as a tenant in common with another party(ies), having its situs in Pennsylvania. Property which is jointly-owned with right of survivorship should be disclosed on Schedule F. All real estate must be reported at fair market value which 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. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Property situate at 1831 Basin Hill Boulevard, Carlisle, Pennsylvania. Actual Sale Price. 146,000.00 See attached HUD-1 Settlement Sheet PART 1 TOTAL 146,000.00 $ PART 2 TOTAL 0.00 Proportionate Method Only from reverse side $ TOTAL (Also enter on line 1, Recapitulation) $ 146,000.00 (If more space is needed, insert additional sheets of the same size) REV-1737-4 EX + (9-00) '* SCHEDULE E, PART 1 MISCELLANEOUS PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN NONRESIDENT DECEDENT ESTATE OF Mary R. Baltes FILE NUMBER 21-01-0331 Part 1 must include all tangible personal property having its situs in Pennsylvania. Examples of tangible personal property are jewelry, furniture, paintings, etc. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. Complete Part 2 on reverse side ONLY when the proportionate method of tax computation is elected. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. CountylTownship Real Estate Tax Proration 03/30/01 to 12/31/01 290.87 2. School Real Estate Tax Proration 03/30/01 to 06/30/01 428.85 PART 1 TOTAL 719.72 $ PART 2 TOTAL 0.00 Proportionate Method Only from reverse side $ TOTAL (Also enter on line 5, Recapitulation) $ 719.72 (If more space is needed, insert additional sheets of the same size) REV-1737-6 EX + (9-00) ~ REVERSE ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN NONRESIDENT DECEDENT ESTATE OF SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Use Schedule H ONLY for proportionate method of tax computation. FILE NUMBER ITEM NUMBER A. FUNERAL EXPENSES: 1. Debts of decedent must be reported on Schedule I. DESCRIPTION AMOUNT B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid 2. Attorney Fees 3. Probate Fees 4. Accountant's Fees Zip 612.50 320.00 5. Tax Return Preparer's Fees 6. Miscellaneous Expenses The Sentinel, Advertising Estate Notice 100.31 Cumberland Law Journal, Advertising Estate Notice 75.00 Register of Wills, Filing Inheritance Tax Return 15.00 TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) 1,122.81 REV-1737-) EX + (9-00) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN NONRESIDENT DECEDENT ESTATE OF SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS Use Schedule I, Part 2, ONLY for proportionate method of tax computation. FILE NUMBER Mary R. Baltes 21-01-0331 Part 1 must include mortgage liabilities, liens and taxes against the Pennsylvania realty that were due and owing as of the date of decedent's death. Complete Part 2 ONLY when the proportionate method of tax computation is elected. PART 1 - OBLIGATIONS AGAINST PENNSYLVANIA REALTY ITEM NUMBER DESCRIPTION AMOUNT 1 Jack Gaughen Realtor, ERA, Realtor's Commission 8,760.00 2. Jack Gaughen REaltor, ERA, Transaction fee 100.00 3. Recorder of Deeds, 1 % Transfer Tax 1,460.00 4. Carlisle Suburban Authority, water/sewer account 120.00 5. Jack Gaughen Realtor, ERA, AHS Home Warranty 365.00 6. Robin Sollenberger, Tax Collector, 2001 County/Township Real Estate Taxes 375.80 7. Radon Mitigation 700.00 PART 2 - ALL OTHER DEBTS OF THE DECEDENT TOTAL PART 1 11,880.80 ITEM NUMBER DESCRIPTION AMOUNT 1. TOTAL PART 2 0.00 TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) 11,880.80 REV-1737-? EX + (9-00) ~. REVERSE ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN NONRESIDENT DECEDENT ESTATE OF Mary R. Baltes SCHEDULE J BENEFICIARIES FILE NUMBER 21-01-0331 When flat rate method is elected, list the beneficiaries of the Pennsylvania property. When proportionate method is elected, list all beneficiaries. RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a)(1.2)] 1. Paul R. Baltes, Jr., 1224 North Vine Avenue, Tucson, AZ 85719-4552 son 2. Michael P. Baltes, 30 Milestone Estates, Box B-14, Hawley, PA 18428 son 30 Lawrence J. Baltes, 1637 Central Avenue, Fullerton, CA 92831 son ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON REV-1737 COVER SHEET OR THE PROPORTIONATE METHOD WORKSHEET ON THE REVERSE SIDE OF REV-1737 COVER SHEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II $0.00 ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1737 COVER SHEET (If more space is needed, insert additional sheets of the same size) the diseases, injuries or complications which caused the death. Do not 'ratory arrest, sheck, or heart failure. List only one cause per each Nne. .."- ';"'-.- '.... ~~~it~1f (Final . a. Arteriosclerotic cardiovascular diae~ resulJinllin dealliJ -+- DUE TO (OR AS A CONSEQUENCE OF): - . - . ..-. " .~. lill! conditions, {b' laadUlll .Il> imme<foate " UNDERLYING or injUry c. _ events in death) LAST ,...,......,. . d. ... .. ~:r !1:9f:!18f~ilrlficant condltfonscontributing to death but not resulting in the undeilying cause DUE TO (OR AS A CONSEQUENCE OF): DUE TO (OR AS A CONSEQUENCE OF): 53724~, 1642012 .. - '. ...., ~ "')SltlADED AREAS FOR MEDICAL INVESTIGATOR - LEGAL OFF;l~~t.t~~d ""..' ......" l"4..j~ '. ~~ .. State Registrar DATElssueo JAN 12 2004 ",",,",- ',,:. ... ....;.... ,..... ,. ........ . ..........,...,..... CERTIFIED COPY OF VITAL RECORD,) This is a true and exact reproduction of all or part of the dociItiW~lti.' officially registerec:land filed with the New Mexico Vital . Records and Heillth Statistics, Public Health Division. \I"lI.ljrttiWt-9(~llIu,ln I.II:AI TI.I C!TATIC!TIt"'C! I. . . ~ .. WARNING: IT IS ILLEGAL TO AlTER. COPY OR COUNTERFEIT THIS CERTIFICATE. AOVERTENCIA: ES ILEGAL ATERAR. COPIAR 0 FALSIFICAR ESTE CERTlFICADO. 'rTLL::u '=!~TR' C!!~ f'.... j",jOL AND a.1 1:.-'""..' " ~-- -:."~r:R COURT o I HAR 22 Ar1 9: 06 iEasl Jlil! an~ Qrtstattttttl 01' 02.21 o?u .. ..- BY: S.RIVERA. DEPUTY OF MARY R. BALTES I, MARY R. BALTES, of the North Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all former Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made. FIRST: I hereby order and direct my Executors, hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be conveniently done after my death, out of my residuary estate. SECOND: I give, devise and bequeath all of my property of whatsoever nature and kind and wheresoever situate at the time of my death to my children in equal shares, the child or children of any deceased child taking the share the parent would have taken if living. LASTL Y: I nominate, constitute and appoint PAUL A. BALTES. JR.. to be the Executor of this my Last Will and Testament. Should PAUL A. BALTES. JR.. be unable to act, renounce or refuse to serve for any reason, or die leaving any part of my estate unadministered, I nominate and appoint LAWRENCE J. BALTES to act as Executor in his place and stead. No Executor shall be required to file bond in this or any other jurisdiction. illi,~_~~,,,,~;..~,,":,;,,-"..;tl:':';.---r-'-P"7~'lI'~..',",,":':':"':'C:;:C",..~t""'''''ft'i':~''''', IN WITNESS WHEREOF, I have hereunto set my hand and seal this t+L... day of vt{~dt , ,2000. -1_ ,,n /-/ :14 -.f,-j; rft '?~ ./ '\' i {~: ~~/ _ ... -r'- .. ./ .//' Ct.'" ~-I ~ /<<tlary R. Baltes ./ SIGNED, SEALED, PUBLISHED and DECLARED in the presence of: 2 -- _.....,.~~>>...,.__~': "",~,,~~.;,~v,'w~"'" ..""..",~~:~":"7.~'''''7"',~~~~;:'';;'::C'''''''-'' n. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss I, MARY R. BALTES, Testatrix, whose name is signed to the attached or foregoing 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; an~ that I signed it as my free and voluntary act for the purposes therein expressed. 4; ~ Sworn or i3ffirmed to and acknowledged before me, by MARY R. BALTES, the Testatrix, this 1-tri day of --rYl1U:J~ ,2000. ' I. .-1 2 \.-0 .LULCL..-;:r <--/y{l( lf~ Notary Public U r ..... ! NOT A.at..t ~~.Al ! I .,.",,.... ! "^l'''''' .. _ ' .. I j _ . \ K.~ _ _~.....;:;.., -'l!cror-, i"\J!:i1C . 1 ~lMl(:!ffiFi';~l :wp., U;l'1~o;:;r.d Co., ~A I 1 My CcmmiWon f..-~rm A\:i3. i2. 2002 1 . I -= -=:" ::. - --. =- =- - ..., .J ~ COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND We, JrlrreJ .D. ;-/OLvt~.Jr. and / h(J,-nos 1:::. f-/C6.:t?r I the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Swom or affirmed to and subscribed to before me bY'-JameJ b. RtJLv'f:.r:Jr. and 771() mnj C. ,::: /OLU€'; 2000. this '7th day of r}'1Jrch \,;! LL o~}fJ Lf,&//;) < Notary Public NeT A1'..AL ~ mClA L ~1U:"Y. ~-.Iolcry ?ubrlC ~oll(;.,-,m;;ron i....p.. Cl.Imo.,r.<:li10 ~.. PA ." ':'~"::;~~:~.:~"~:.~.::~.2':.'.3~:..- 4 OMB NO. 2502-0265 ...:-.. A. J.S. DEoARTMENT OF HOUSING & URBAN DEVELOPMENT B. TYPE OF LOAN: 3. ~CONV. UNINS. 4.DVA 5. DCONV. INS. 2.DFmHA SETTLEMENT STATEMENT 2080.1 8. MORTGAGE INS CASE NUMBER: . N TE: This form is furnished 10 give you a slalemenl of ae/ual selllemenl cas Is. Amounls paid to and by Ihe selllemenl agenl are shown. Items marked "[POCr were paid oulside Ihe closing; they are shown here for informational purposes and are nol included in Ihe lolals. 1.0 3196 (2060-1SMITHPFD/2060.1/10) D. E. NAME AND ADORE S F SELLER: F. NAM AND AD E L NDER: Edward B. Smith and Holly H. Smith 13 Midland Drive Mt. Holly Springs, PA 17065 The Estate of Mary R. Balles 1831 Basin Hill Blvd. Carlisle, PA 17013 Mid Penn Bank 349 Union Street Millersburg, PA 17061 G. PROPERTY LOCATION: 1831 Basin Hill Blvd. Carlisle, PA 17013 Cumberland County, Pennsylvania H. SETTLEMENT AGENT: Law Office of Michael J. Hanft 25-1736654 March 30, 2001 I. SETTLEMENT DATE: PLACE OF SETTLEMENT 19 Brookwood Avenue, Suite 106 Carlisle, PA 17013-9142 20. GROSS AMOUNT DUE FROM BORROWER 00. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: Seller Seller 03. CASH ( X FROM) ( TO) BORROWER 14,047.95 603 CASH ( X TO) ( FROM) SELLER The undersigned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement & any attachments referred to herein. 290.87 146.719.72 11,880.80 134,838.92 $ 146,000,00 @ 6.0000 % Pbg6 2 L. SETTLEMENT CHARGES fOO. TOTAL COMMISSION Based on Price Division of Commission (line 700) as Follows: fO 1. $ B,ftiO.OU 10 JaCK Gaugl1en~eaJfor t:KA fOL. $ 10 7U3" \,;ommlsslon t-'ald at ::.eltlemem 704. TransacfronFee to Jack Gaughen Keallor t:t-:A aOO.ITEMS PAYABLE IN CONNECTION WITH LOAN 1mT.Toan Onglnallon I-ee ';-'0 To 1802. Loan Discount U.L5UU % to Mid Penn !::lank 180;J. AppralsaTFee 10 Mid Penn tlank rBO'f. Credl! Keport to Mid t-'enn tlanK I BOS'. FT06crc;-ert ree To rvrr(!Venn Bank · BU6. Doc Prep "Fee to Mid Penn Bank BUf. \';Ioslng GOSI Goupon 10 Mid t-'enn tlanK BOB. B09: mu: 1511. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From 03/30/01 to 03/31/01 @ $ 9U2. Mortgage Insurance t-'remlumlor monlhs 10 Mid t-'enn tlanK 903. Hazard Insurance Premium lor years to 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance 3.000 1002: Mortgage Insurance 1003. CountylTwp Taxes 1004. School Taxes l1J()5:' 'Assessments lOUo. 1OOT. 1008. Aggregate Adjustment 1100. TITLE CHARGES 1101. Abstract or Tille Search l1W.-seflfemerlf or CrosJllg Fee 1103. Document Preparation 1104. Allorney s ree Trn?). NOfaryTee 1106. DRS Lien Searches 1107. Overnight Mail Fee (includes above ilem numbers' 1108. Title Insurance (Includes above item numbers: 1109. Lender s Goverage ;r 1 j l,4VV.VV mwners coverage $ 145,UUU.UU 1111. tndorsements .1 to C IIC/Law Ulllce 01 Mlcnael J. Hann 111 L. Insured uosJllg Lellerto Gonesloga I ille Insurance L-ompany T1IT lnslanl Tille pOlicy I-ee to Law Untce 01 MICflael J. Hanlt 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 25.50; Mortgage $ 43.50; 1 LUL. cily/counly I aX/::ilamps:ueed 1,4bU.UU; Mortgage 1203. Stale Tax/Stamps: Revenue ::itamps 1,460.00; Mortgage 1204. ASSignment of Mortgage to Cumberland County Recorder of Deeds l"'21l'5': 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survey to 1'302'. PesfTnspechon to Crltenum-Ylngst 1303. Radon 1 est Gnlenum- Y Ingsl 1304. Home InspeC!;on Gntenum-Ylngst m05:' See addil'l disb. exhibit to . 1400. TOTAL SETTLEMENT CHARGES (Enter on lines 103, Section J and 502, Section ~ By slglung page 1 of Ihis stalemenl. Ihe signalOfies acknowledge fCceipl 01 a compleled copy of page 2 of this Iwo page SlaI7~');" CaW1Jffice orMiChaeTJ. HaJ!lt r V SeUfemenl Agent Iday months @ $ months ~ $ LlJlJ(J months ~ $ TO.Om) months ~ 12 $ months ~ i) $ monl1ls @ :J> months @ $ morilhs @ :Ii 8,760.00 $1,316.UU t-'UG :J>Lfb.UU PUG $oU.UU- POC $L5.UU t-'OC 2 days %) 32.08 per month per month 31.;J2 per monTfl 1 M.46 per monffi per month per monffl per monlh per monfh to to toS-aiois--sJlutf flower & Lindsay to to to -CawlJTf"lce of Michael J. Hanft to Law Office of MichaeT J. Hanlt to CTIClLaw Office of Michael J. Hanft Certified to be a true copy. POC ) $L54.L5 POC ) Releases $ No Charge -tj -tl PAID FROM BORROWER'S FUNDS AT SETlLEMENT PAID FROM SELLER'S FUNDS AT SETlLEMENT 100.00 5,70UW lOU.Uo- 326.50 25~OO 175lm -lOV.VO 45.63 41.01 96.24 62.64 1:374.60 -285.74 4'0.00 26.00 fl}2".75 100.UU jo.UU 10.00- 6900 1 ,4 b"U:UU 1,46000 14.00 4,428.23 860.80 11,180.80 ADDITIONAL DISBURSEMENTS EXHIBIT I Borrower: Edward B. Smith and Holly H. Smith Seller: The Estate of Mary R. Baltes Lender: Mid Penn Bank Settlement Agent: Law Office of Michael J. Hanft (717)249-5373 Place of Settlement: 19 Brookwood Avenue, Suite 106 Carlisle, PA 17013-9142 Settlement Date: March 30, 2001 Property Location: 1831 Basin Hill Blvd. Carlisle, PA 17013 Cumberland County, Pennsylvania PAYEE/DESCRIPTION NOTE/REF NO BORROWER SELLER Carlisle Suburban Authority Final Water/Sewer Jack Gaughen Realtor AHS Home Warranty Robin Sollenberger, Tax Collector 2001 CountylTwp. Taxes 120.00 Acet# 08000145 365.00 375.80 Total Additional Disbursements shown on Line 1305 $ 0.00 $ 860.80 (2080-1SMITH.PFD/2080.1/3) ~ IN RE: ESTATE OF MARY R. BALTES Deceased : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 21-01-00331 C_._" t.:::.) AFFIDAVIT l",' c\ r. ~) t" ~? r....) COUNTY OF CUMBERLAND ) : ss. ) .::-- COMMONWEALTH OF PENNSYLVANIA The undersigned represented MARY R. BALTES, who died March 16, 2001. She died domiciled in Tucson, Arizona, and her Estate was probated and settled there. Her son, PAUL A. BALTES, JR. was the Executor of her Estate. The only asset she owned in Pennsylvania was her former home located at 1831 Basin Hill Boulevard, which was sold by the Estate for $146,000.00, on March 30, 2001. Knowing that Inheritance Taxes would be due, we made a payment on account of Inheritance Tax (in discount) in the amount of Six Thousand ($6,000.00) Dollars. PAUL A. BALTES, JR., died December 27, 2003. The undersigned has personal knowledge of the assets and deductions of her Estate, having handled her real estate transaction, and a copy of the settlement sheet showing all costs is attached to the Inheritance Tax Return. No successor Executor was appointed by the Court. SAIDIS, FLOWER & LINDSAY Attorneys for the Estate of Mary R. Baltes BY~ ~~ James D. Flower, Jr., Esquir 26 West High Street Carlisle, PA 17013 (717) 243-6222 I.D. #27742 Sworn and subscribed to before me this ~O -tJ-. day of March, 2008. NOTARIAL SEAL MERlENE J. MARHEVKA. NOTARY PUBlIC CARLISLE CUMBERLAND COUNT'( PA MY COMMISSION EXPIRES JUNE 8,2010 \ ~- Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: Mary R. Baltes Date of Death; March 16, 2001 Estate No.: 21-01-00331 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 Q No ^ 2. if the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. if the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes ^ No Q 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 Q No ^ c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Dater ~~ X2008 ~ N . ~+ ~ ~ - ~ .~ r` - : ~ ~ -, ~ : u Q1 ~ Lrr ~_ U ~ ~ ~ =~. c~ ~ c.,r U ignature James D. Flower, Jr., Esquire Name 26 West High Street Carlisle, PA 17013 Address 717-243-6222 Telephone No. Capacity: ^ Personal Representative Q Counsel for personal representative