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HomeMy WebLinkAbout02-0034 F'ETITION FOR PROBATE and GRANT OF LETTERS o.,"c ,,,2/- -,¢,l f/ also ,.own as -.~.o.~ _-3'T~.,q¢ .~_~c~c~ To: ' R egister of ~iIls for the · Deceased. County of [,.~Jtn~lg,~t'~l~& in the Social Secdrity No.~O /-/~%~~ ' ' Commonwealth of Pennsylvama he petition of the undersigned respectfully represents that: Your pelitioner(s), whogare 18 years of age or older an the executO~ named int~e~astg.~ofthea~oveaeceaent, aatea ~ ~% I~ ,~9~ and codicil(s) dated (stale relevant circumslances, e.g. renunciation, death of execator, etc.) Decendent was domiciled at death in ~ ~ ~ County, ~nnsylvania, with h ~.~ :~last., [amily,gL. princ[pal~ ~ residence m ~ ~ ~~. . ~ ~ .... /- ,% -. / . . ~ /? (hs[ stree~ number and munc~pahty) .Decendent, [hen ~ yefirs of Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted I . . ~ ' ~fter exe:utmn of the will offered for probate; was not the victim of a killing and ~as never adjudicated ~ncompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.), .All personal property $ , ~/ 0 (If not ~omiciled in Pa.) ' Personal property in Pennsylvania $ (If not Oomiciled in Pa.) Personal property in' County $ Value of real estate in Pennsylvania $. ~'Oi ¢ follows: . I~o t situated] .i~t ~C~ S~~, ~rt~S~ PA i WHEREFORE, petitioner(s) respectfully~_requ~est(s) the probate o_f the last will and codicil(s) presented herewith and the grant of letters (testamentary; admi~tration c.t.a.; administratmn d.b.n.c.t.a.) t heron':'~'N // . OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA -~ t/el The petitioner(s) above-named swear(s) or affirm(s) that the statements in foregoing petition are true find correct to the best of the knowledge and belief of petitioner(s) and tfiat as personal represen- tative(s) of the above decedent petitioner(s) will well~ and truly administer the according to law. estate ~0. 21-2002-0034 Estat~ Of . Ja~e c.. Hancock, A/K/A Sara- Jane Hancock , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW the reverse side hereof, satisfactory proo~ having been presented before me, IT IS DECREED.that the instrument(s) dated Play 25t-h, 1082 described therein be admitted to probate and filed of record as the last will of and Letters Testamentary.. are hereby granted to Danie L 'Jr~eeDh Ha-n¢ock" and' FEES Probate,'Letters, Etc. ' $11B.00 Short Certificates(6 ) .......... $ 1B.O0 Renunciation' " , $ ' ' x-Pages ( 2 ) $ 6.00 JCP. ~. 00 TOTAL __ $--t44=00- Filed ... January...l~th.,2002 ............ Re~is{/er';f Wills o~ o' ~ '. ~ ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE I 105.805 REV 9~86 on trial, certificate ,will ~4'i {NING:~ Ifi~ ,R'egiltr~::. '~' .. ~ ;!::.8 ::2002. ,alTO1 21-2002-0034 WILL I, J.ANE C./ HANCOCK, aka SARA JANE HANCOCK, of.321.~ A~ch ~ Street, Carlisle, Cumberland County, Pennsylvania,, declare this to be my last ~il1 a~d revoke any will previousl~ made by me. ITEM ONE. i I direct, that all my debts and funeral expenses, indluding m~ grave- marker, shall be paid. from my residuary estate as soon as practicable after my decease, ~s a part of the expenSe of. the administration of my ITEM TWO.. I give, devise and bequeath my entire 'estate both real and ersonal to my husband, WILBUR SAMUEL HANCOCK, if he survives me by 60 dale. In t~e event that he p~edeceases me or is not then living on the 61st day ~fter my decease. then I giye, devise and bequeath my entire estate to my children, DANIEL JOSEPH and KATHY/LYNN equally, share and share alike, per stirpes.' / iTEM THREE'. i appoint my husband WiLBuR SAMUEL HANcocK ' , · , , Exequtor of this my last will. Should he fail to qualify, or cease to act as Execdtor I a~-oint my children, DANIEL JOSEPH and KATHY LYNN, as Co-gxecutors,~.o~ thg sur~%vor there°f ~s Execut°r"with the'same ri'ght's' p°wers and duties'II ~ITEM FOU~ I a olnt m u ~ · ~. pp ' y s rviving child as guardian of any p~operty which "--~Dasses td anyperson under the age of 2'1 years and wit~ respect to which I a~ thoriz~d to appoint a guardian and haVe not otherwise specifically done so. Said'guardian. shall have the power to use income from time toltime for the beneficiary's education, support and welfare without regard t~ his or her parent'slability to provide for such education, support or welfare, or to make purposes, without further responsibility, the beneficiary payment these t~ or to the beneficiary's parents or to any person taking~care ~f the beneficiary. Said guardian shall administer the separate and equal share'~f each beneficiary until he or she becomes 21 years of age, at which time the sh~re of each benefi- ciary re~aining in.the guardianship account Shall be paid to ~aid beneficiary in full.~ In the event of the death of any beneficiary after ~y decease and prior to!reaching the~.age of 21 years, his or her share shal~ be' distributed~ equally to the surviving children or child to be administere~ 'in accordance with thi~ guardianship provisions. Should he fail to quali~y or cease to act as guardian, I appoint COMMONWEALTH NATIONAL BANK to act as guardian, with the same rights, powers and duties.. ' ITEM~FIV~. All estate, inheritance, succession and other tae , imposed or payable ~y reason of my death, and interest and penalties thgreon, with resnect to all ~roperty comprising my gross estate for tax purposes, lwhet~er or not~ such property .passes under this will, shall be paid out of t~e principal of my residua y estate, without apportionment or right of reimbursement. ITEM SIX. I direct that my personal'representative or guardian shall not be required to give bond for the faithful performance of their ~uties in any jurisdi?tiOn' ' ' 1 ' ITEM SEVEN. In addition to the rights and powers given to fiduciaries/ by law or elsewhere in this will, I give to my Executor duri~ ~ ~-~ -'and forI the administration of my estatg the following~i~s~~ ~o%~r2e~gs%%ry x--).~xercis~d"in his sole discretion. ' -' ' ~ ' I o A. To retamn any real or personal property which may at any time form a part of my e~tate so long as he or she deems it advisable. B. To ~nvest in any real or Personal property without rest~ .ction to legal investments. C. To ~epair, alter, improve or lease for any period of tim, any real or per- sonal lroperty and to give options for leases. Page one of three pages D. Td sell security to options ~for ~t public or private sale, for cash or credit, with or without exchange or to partition real or personal property a~d to give leases. " -E. To make distribution in kind. F. To compromise claims. IN WITNESS WHEREOF, I have hereunto set my hand. this ~ 5./d~Y !~ ~ 1982. nst en , cons s.n identified by. the signature of the Testatrix, JANE.~. HANCOCK, aka SARA JANE HANCOCK, was on the/day and date thereof signed, published and declared by the TeXtatrix, JANE C..HANCOCK, aka SARA JANE HANCOCK, therein named as and for her last will, in the prepence of us, who .at her request, in her presence and in the presence Of each other have subscribed our names. COMMONWEALTH OF PENNSYLVANIA · : COHNTY ¥ CUI~BERLAND We s~e~[~ ~ ~C[~oy and ~~~~ ~ Witnesses z~heattached or foregoing instrumenl ~eing duly who na~es are signed to qualifie~ according to law, do depose and. say that we were present and saw the Testatrix, JANE C'.'HANCOCK, aka SARA JANE HANCOCK, sign and execute the instru- ment as her last will; that she signed willingly and executedlit as her free and voluntary act for the purposes therein expressed; that each of us in the hearzng ~nd sight of the Testatrix, JANE C. HANCOCK, aka SARAI'JANE HANCOCK, signed the will/as.witnesses; and .that to the best of our knowledge,/ the Testatrix, JANE C. HANCOCK, aka SARA JANE HANCOCK,-was at the time 18 or mor, years of age, of sound mind and under no constraint or undue influence. Sworn. arid subscribed to before me this day of .'~.~_~ ,'~ 1982. N~tary Public ,~ANDA K. HUNTER, NOTARY PUBLIC Add~e~,~ib' '~nover Street C- arl~l~, Cumb.erl~nd County ~[.y .Comm~ion 'EX~re,.'October 8~ My Cammission~' expires: Page two of three pages ~ o 0 ~ CERTIFICATION UNDER NOTICE UNDER RULE 5.6 (~ L) Name o~ the Decedent: Jane C. Hancock AKA Sara Jan, Date of Death: January 6, 2002 Will N). 0034 of 2002 Admin. No. 2002-0)034 To the Register: I certify that notice of a beneficial interes required by Rule 5.6(a) of the Orphan's Court Rules was mailed to the following beneficiaries of the above- captioned estate on March 21, 2002. Name D~nie~ Joseph Hancock ~pt.#2 Address 205 Parker Street, Carlisle, PA 17013 203 Walnut Street Carlisle, PA 17013 KathytLynn Hancock AKA athy Lynn Zengerle Notic! has now been given to all persons entitled under Rule 5.6(a) except Date: March 21, 2002 ~~1 Hancock thereto Name: Kathleen K. Shaulis, Esq. Address: 44 South Hanover Street Carlisle, PA 17015 Telephone: Capacity (717) 243-665_~5 Personal Representative X Counsel to Personal Representative NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF Vv~IL~ COUNTY OF CUMBERLAND In re Estate of Jane C. Hancock AKA Sara Jane Hancock, deceased No. 2002-00034 TO: Kathy L! Hancock AKA Kathy Lynn Zengerle 203 Walnut Slreet Carlisle, PA 17013 ! Plea~ e take notice of the death of decedent and grant of letters to the personal repre named below[ You may have a beneficial interest in the estate as follows: You~ are named as one of only two beneficiaries under Mrs. Hancock's Last Will a Name of the Decedent: Jane C. Hancock AKA Sara Jane Hancock Last Known ~ddress: 321 Arch Street I Carlisle, PA 17013 Date of Death: January 6, 2002 Place of De.~h: At Thomwald Nursing Home, Carlisle, PA 17013 County of C~ant of Original Letters: Cumberland Decedent di~s X testate intestate .... A copy of thee will __ is X is not attached. Name(s), ad h'ess(es) and telephone Name Daniel Jose ~h Hancock number(s) of all personal representatives appointed Kathy Lynd Hancock AKA Address 205 Parker Street Apartment #2 Carlisle, PA 17013 Telephone 203 Walnut Street ~ntative td Testament. Kathy Lyfin Zengerle Carlisle, PA 17013 Name(s), a~ldress(es) and telephone number(s) of all counsel Name~ Address Kathleen K. 44 South Hanover Street Telephone (717)24~3-0656 (717) 243,6655 (717) 243 -4693 Shaulis~, Esq. Carlisle, PA 17013 A[dditional information may be obtained from the undersigned. Name: Kathlq~n K. Shaulis, Esq. . Address: 44 South Hanover Street Carlisle, PA 17013 Telephone: (717) 243-6655 Capacity: ~ Personal Representative X Counsel for Personal Representatives NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re Estate f Jane C. Hancock AKA Sara Jane Hancock, deceased No. 2002-0 ~034 TO: Daniei Joseph Hancock 205 Parker S~xeet Carlisle, PA 17013 Pl~[se take notice of the death of deced~t and grant of letters to the personal rt~', esentative named below. You may have a beneficial interest in the estate as follows: Y u are named as one of only two beneficiaries under Mrs. Hancock's Last Williand Testament. Name of e Decedent: Jane C. Hancock AKA Sara Jane Hancock Last Knov~n Address: 321 Arch Street t Carlisle; PA 17013 i ' Date of D h January 6, 2002 Place of D~th: At Thornwald Nursing Home, Carlisle, PA 17013 County of!Grant of Original Letters: Cumberland Decedent ~lies X testate intestate ' A copy ofithe vail is X is n~t attached. Name(s), i~ddress(es) and telephone number(s) of ali personal representatives appointed Name / Address Telephone Daniel Jo.~h Hancock 205 Parker Sa'eet Apartment #2 (717)243-0656 I Carlisle, PA 17013 203 Walnut Street Kathy Lyhn Hancock AKA Kathy Eynn Zengerle Carlisle, PA 17013 Name(s),/address(es) and telephone number(s) of all counsel Name / Address 2s2 ows Carlisle, PA 17013 Shauiis, Esq. Additional information may be obtained l~om the undersignecL Date: (717) 243-4693 Telephone ' (717) 243-6655 ~agmei I~&I~K~. Shaulis, Esq. Address: 44 South Hanover Street Carlisle, PA 17013 Telephone: (717) 243-6655 Capacity: X Personal Representative Counsel for' Personal Representatives BUREAU OF ZNDZV/DUAL TAXES INHERITANCE TAX DIVISION DEPTo 280601 HARRISBURg, PA 17128-0601 KATHLEEN K SHAULIS ESQ , K K SHAULI!S LAN OFFICE 44 S HANOVER ST ('iJl ,':- .." CARLISLE PA 17015~''~ ::* 'CONNONNEALTH OF. PENNSYLVANZA' DEPARTNENT OF REVENUE' NOTICE OF INHERITANCE TAX APPRAZSENENT~ ALLONANCE DR DZSALLONANCE OF DEDUCTIONS AND ASSESSNENT OF TAX ¢. ..... *i~; ~;-i?itt:: .-TE ESTATE OF DATE OF DEATH [~i [) .~F(X~LE NUHBER .... COUNTY ACN REV-i~7 EX &FP (01-02) 09-16-2.002 HANCOCK 01-06-2002 21 02-~054 CUH~ERLAND 101 Amoun~ RemA~ed I JANE C HAKE CHECK PAYABLE AND REHZT PAYNENT TO: REGISTER OF WILLS CUHBERLAND CO*COURT HOUSE CARLISLE, PA 170~$ RETAIN LONER PORTION FOR YOUR RECORDS , ~ CUT ALONG THIS :NE I~> REV-15~7 EX AFP (01-0~) NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLONANCE OR DISALLONANCE OF DEDUCTIONS AND ASSESSNENT OF .TAX ESTATE OF HANCO, CK JANE C FILE NO. 21 02-.0054 ACN 101 DATE 09-16-2002 I NAS: () ACCEPTED AS FILED ( ) CHANGED TAX RETURN X RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUEIOF RETURN BASED ON: ORIGINAL RETURN Real Es~a~ (Schedule A) ' {1) S~ocks endlBonds (Schedule B} (~) Closely Held S~ock/Par~nershAp Zn~eres~ (Schedule C) ($) Nor~gages/~o*es Rece/veble (Schedule D) (~) Cash/Bank DeposA~s/Nisc. Personal Proper~y (Schedule E) (5) JoAntly Owned Pr°per*y (Schedule F) (6) Transfers (Schedule G) (7) To,al A~se~s 20/050.5~ .00 .00 NOTE: To Ansure proper .00 credA~ ~o your account, .00 sub.i~ ~he upper por~Aon .00 of ~hLs for. wASh your ~ax payment. APPROVED DEDUCTIONS AND EXENPTZONS: 6,99S 68 9. FuneraX Expenses/Adm. Cos~s/HAsc. Expenses (Schedule H) (9) ' 10. Deb4:s/Hor~clgage LiebLX1:tAes/LZens (ScheduXe T) (10) 7 ~ 046.29 11. Total Deductions (11) 14. o39.97 12. Nei Val~ue of Tax Relurn (12) 65,990.56 15. Charitable/Governmental Bequests; Non-elecied 9115 Trusts (Schedule d) (15) . O0 1~. Net Value of Estate Subject ~o Tax (1~) 65,990.56 NOTE: ~ an assessment ~as issued previously, lines 1~, 15 and/or 16, 17, 18 and 19 reflec,t figures that include the total of ALL returns assessed to date. ASsESSNENT OF TAX:' 15. Amount: ofI Line 1~ a~ Spousal ra~e (15) . O0 X O0 = . O0 16. Amoun~ of/LAne lfi ~axable a~ LAneal/Class A ra~e' (16) 65,990.56 X 045 = 2,969.58 17. Amount: ofI Line 1¢ a~ SLblLng rate (17) .00 x 12 = .00 18. Amount of~ LAne lrt ~axable a~ Colla~ceral/Class B ra~e (18) ;00 X 15 = .00 19. Principal/ Tax Due (19)= 2,969.58 TAX CREDITS: PAYNENT II ] RECETP1 DTSCOUNT (+) ANOUNT PATD DATE I NUNBER INTEREST/PEN PA]:D (-) 07-10-2002 CD00159:5 .00 2,800.00 08-07-2002 CD001488 : .00 169.58 TOTAL TAX CREDXT I 2,969.58 BALANCE OF TAX DUEl .00 ZNTEREST AND PEN. *' .00 TOTAL DUE . O0 ~ TF PAID AFTER'DATE'ZNDZCATED, SEE REVERSE ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. 60zO00.O0 (B) 80,050.55 RESERVATION: PURPOSE OF NOTICE: PAYNENT: REFUND (CR): OBJECTIONS~ ADNIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: ZRTEREST: Estates of decedents dying on oE before December 1Z, 198Z -- if any future interest in the estate is transferred in possession or enjoyment to Class 8 (collaterat) beneficiaries of the decedent after tho expiration of any estate fo~ life or for years, the Commonaealth hereby expressly.reserves the right to appraise and assess transfer Inheritance Taxes et the laaful Class 8 (collateral)rate on any such future intmrest.. To ~ulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act Z$ of ZOO0. (72 P.S. Section 9140). ; Detach the top portion of this Notice and submit with your payment to the Register of Rills printed on the'reverse side. --Hake check or money order payable to: REGISTER OF HILLS, AGENT A refund of a tax credit, which was not r~quested on the Tax Return, may be requested by completing an "Applicatio~ for Refund of Pennsylvania Inheritance and Estate Ta~" (REV-ISIS). Applications are available at the Office of the Register of Rills, any of the Z3 Revenue District Offices, or by c~lling the special. Iq-hour answering service for forms, ordering: 1-800-36Z-ZO50; services for taxpayers with special hearing and / Or speaking needs: 1-800-~47-30Z0 (TT only). Any pa~ty in interest not satisfied mith ~he appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as sheen on this Notice must object within sixty (60) days of receipt of this Notice by: L-written protest to the PA Department of Revenue, Board of Appeals, Dept. Z810Z1, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal reprasentmtlve, OR --appeal to the Orphans' Court. Factual errors discovered an this assessment should be addressedin writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Reviea Unit, Dept. 280601, Harrisburg, PA 17IZ8-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident * ' Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax duo ls paid within three (3) calendar months after the dacedent's death, a five perce~t (SZ) discount of the. tax paid is allowed. The 15Ztax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and net paid before January 18, 1996, the first day after tho end of the tax amnesty period. This nan-participation penalty is appealable in the same manner and in the the same time period as you mould appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning eith first day of delinquency, or nine (9) months and one (l) day from the date of death, to the dat~ of payment. Taxes ~hich became delinquent before January 1, 198Z bear interest~at the rate of six (BZ) percent per annum calculated at a daily rate of .00016q. All taxes ~hich ~ecame delinquent'on and after January 1, 198Z ell1 bear interest at a~rate which will vary from calendar year to calendar year aith that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOOZ are: Year Interest Rate Daily Interest Factor 198Z ZOZ .0005~8 1983 16Z. .000~38 1984 XiZ ' ,000301 1985 13Z .000356 1986 iOZ . O0027~ 1987 9Z .000Z47 1988-1991 11Z .n00501 --interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID Year Interest Rate Daily Interest Factor 199Z 9Z .O00Zq7 1993-199q 7Z .O0019Z 1995-1998 9X .OOOZq7 1999 7Z .000192' ZOO0 8X .000Z19 2001 9Z .0002q7 ZOOZ 6Z .00016~ X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any N~tice 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. COMMONWEALTH OF PENNS CLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-060 RECEIVED FROM: "'" PENNSYLVAN A ....... · ~' INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV-1162 EX(11-96) 001393 SHAULIS KATt LEEN KRISE 44 SOUTH HANOVER STREET CARLISLE, PA 17013 ........ fotd ESTATE INFORMATION: SSN: 201-18-5487 FILE NUMBER: 2102-0034 DECEDENT NAME: HANCOCK JANE C DATE OF PAYMENT 07/1 0/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/06/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,800.00 I I TOTAL AMOUNT PAID: REMARKS: SEAL KATHY LYNN ZENGERLE & DANIEL J HONCOK C/O KATHLEEN SHAULIS CHECK#11 1 2 INITIALS: CW RECEIVED BY: REGISTER OF WILLS $2,800.00 MARY C. LEWIS REGISTER OF NILLS REV-1500 EX (6-00) COMMONWEALTH OF PE, NNSYLVANIA DEPARTMENT OF REVENUE I~EPT. 280601 HARRISBURG, PA 17128-0601 W LU C.) I,,U U.I I- Z ul C3 Z 0 UJ D~ 0 W r,w REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) DATE OF DEATH (MM-DD-¥EAR) DATE OF BIRTH (MM-DD-YEAR) · OFFICIAL USE ONLY FILE NUMBER 2_.it " SOCIAL SE~;URITY NUMBER· (iF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, ANDMIDDLE INITIAL) SOCIAL SECURITY NUMBER ' I - - THIS RETU.'RN MUST BE FILED IN DUPLICATE WITH THE I REGISTER oF WILLS [~. Original Return []4. Limited Estate F-~6. Decedent Died Testate (Attach copy of Wifl) F--J9. Litigation Proceeds Received [~2. SupplementaIReturn . -* * - : []4a. Future. Interest Compromise (date of death afte'r 12-12-82} E~ 7. Decedent Maintained a Living Trust (Attac? c~py of Tr~st L--Il0. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) [] 3I. Remainder Return (date of death pdor io 12-13-82) [~. Federal Estate Tax Return Required . __ 8,. Total'Number of Safe Deposit Boxes !1. Election to tax under Sec 9113(A) (Attach Sch O) NAME I COMPLETE MAILING ADDRESS 1. Real Estate (Schedule A) 2. Stocks and Bond, s (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) E~ Separate Billing Requested 7. Intar-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 Deductibns (total Lines 9 & 10) 12. 13. 14. (1) · (5) (6) Net Value of.Estate (Line 8 minus Line 11) . . Charitable and Governmental B.equests/Sec 9113 Trusts for which an election to tax has not been made (Schedu. le J) Net Value Subject to Tax (Line 12 minus Line 13) OFF, ICIAL USE ONLY :.T! ~",, (,11 J4, o3q. 97 (13) I '---- 0 '"'"'"--- (14) 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) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Li~e 14 taxable at sibling rate fL 18. Amount o ine 14 taxable at co ateral rate 19. Tax Due __:x .0__ (15) x .0 ~ (16) x .12 (17) x .15 .(18) (19) REV-I~08 EX + (1-97) '~ COMMONWEALTH OF PENNSYLVANIA ~NHERIT^NCE T~X RETURN RESIDENT DECEDENT I SCHEDULE E CASH, BANK DEPOSITS, & MISC. ' PERSONAL PROPERTY ESTATE OF ~ FILE NUMBER Include the proceeds of litigatior~'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 ~ t~ :2_,..i. ? z/ / -2..o H.I '~ 77~ ~ o1,~5' C,O ~' 2H 7~ t 2.o bo.~"-2,S-?~'" /I 2 72o~ 2..i f4 _c . No. ,y" 0000 "¢ 002.. I TOTAL (Also enter on line 5 Recap tu at on (If more space ~s needed, insert additional sheets of the same size) COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDE'NT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESYATE OF "~ YN~- ~ER'~''/- ~)z - ~O._~ / completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVERISHEET is yes. This schedule must be / DESCRIPTION OF PROPI=R~¥ % ~)F ITEM ~"CU:OE'r~E"A~E OF T~ T"A.S~a~'E. T.E~R~=UmONSH~p TO D~.DEm,~D*mE a'~ ~F m~.'S~'R_ DATE OF D~TH DECD'S'- EXCLUSION TA~BLE VALU A~ A ~ OF ~E O~O ~ ~ ESTA~. NUMBER ~ VALUE OF ASSET IN.REST ~ ~.~) ~ n line 7 R~pitulaNon) $ ~.% ~ (If more space is needed, insert additional sheets of the same size) EV-1511 EX+ (12-99) ~' COMMONWEALTH OF I ENNSYLVANIA INHERITANCE TA)< RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule FILE NUMBER - 02..-o~ B<-/ ITEM NUMBER DESCRIPTION AMOUNT A. 1. FUNERAL EXPENSES: ADMINISTRATIVE COSTS: Personal Representative's Commissions Dan ~--~ '~0-~--~ h .ameofPersonalRepresentative(s) ~~ Lynn ~~IC SoCial Security Number(s)/EIN Number of Personal Representative(s) Street Address ~O~ ~~ ~~ city ~,~s ~c S~ate 9~z~, Year(s) Commission Paid: Attorney Fees ~ ~' ~O ~ ~ Family Exemption: (If d~cedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State__Zip Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) 5. 6. 7. ~o. oo S 7. COMMONWEALTH OF PENNSYLVANIA iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Include unreimbursed medical expenses. ITEM NUMBER SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMB, ER DESCRIPTION AMOUNT ~ I s" ff 0o0-2__. ) 3 ~-.oo TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) , '7 o,-/~,, z,? REV-1513 EX+ (9-00~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER I 1. I1 SCHEDULE BENEFICIARIJ:s NAME ~ND ADDRESS OF PERSON(S) RECEIVING PROPERTY J FILE NUMBER / RELATIONSHIP TO DECEDENT Do Not List Trustee(s) TAXABLE DISTR,IBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] AMOUNT OR SHARE OF ESTATE ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRI~ATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MA~E B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF pART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET (If more space is needed, insert additional sheets of the same size) Schedule E Exhibi.ts SHEET # . OF i:'""TOTAL SHEETS ...'--? I (consignor) hereby commission ~ to Sell the iton~:fi~d, above & on .the a~ached sheets to .the hi~hest bidder by public auction: I cert~y that .i a~l t~.,e own.er of the a~ove listed items and have good title and'lf~ right [o sell tnem. ~ cortify that the. item~ listed are free from all Incumbranco~. _ _1 ,a.g. ?.ee. to.accept all respo.ns~bility ,for providing good title and for delive~y'~.*~ or tne'~ss-o~ any ~tem c~u~Te are, theft,, damage, etc. I understand that. a · % commission will he deducted from the gross sales  f my items. "N? Bid" items will' .be disposed of at the discretion of the uctioneer/.Aucti,on Ho.use. P,a~. e, nt will be made to the consignor within oays lmm oats ol sale~ - - · . ' - Date . .'' '%~ Consiglflor Signature I Date Auctioneer/Auction Staff Signature i',".CO'NSIGNO R'S SETTLEMENT COPY .. PNCBI January 28, 2002 Mr Daniel J Hancock iSCP 265 Parker St, Apt 2 Cirlisle, PA 17013 RE: Estate of Jane C Hancock (Deceased) ' ! SSN: 201-18-5487 ! DOD: 01-06-2002 Dear Mr Hancock: / I6 response to your request for Date of Death balances for the customer ~oted above, our records show the following: Checking Account Account~5000040021 Established 08-25-1995 I JANE C HANCOCK DOD balance: $6,089.82+ $1.07 accrued interest ,Please note that this office only provides date of death balances for depO~sit accounts (IRAs, CDs, Checking and Savings accounts). We do not process any financial iransactions or provide statements, if you need assistance with any of these items; please ~all 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, !Erica L Schlegel i 1-800-762-I 775 P7-PFSC-04-F 500 First Ave, 4th FI CIF Pittsburgh PA 15219 Member FDIC CDI2 Sel A908716 TU1P0151 JANE C HANCOCK 321 ARCH S? CARLISLE PA 17013 Customer Detail Inquiry 038814217 'CZlll!901 01/24/02 I .16:21 MORE:' Tax Id: S201185487 Customer Assets $ ~1715.14+ n' Customer ~abilities i $'~ i 0.00+ S-Org-Serv-Ac~ount Number/Mat Date-Prod-J/S-St Date .... Cmt-Balance ...... Cf-I 075 SAV 3000012326300 PSAV S OP 05111999 Y 1437.22+ 075 CDA 247412041277286 01252002 204 S OP 07252000 N 2867.62+ 075 CDA 247412060882575 11272002 206 S OP 06271990 N 2808.22+ 075 IRA 2571410060217444 06062003 INDV S OP 12061985 N 4602.08+ 075 CDA 2471412056280011 205 S CL 01112001 N ~ 075 CDA 247,412060275814 206 S PG 07252000 N BALANCE INQUI! Command: CDI3 Fl=Help F3=Ex~ Y COMPLETED PRESS F9 FOR BALANCE F4=Nxt F5=Sold F6=Add Lead F7=Bkwd F8=Fwd F10=Lt Fll=Rt F24=CSEL Schedule G Exhibits CountTJ pm~ylvaga, bm~d~ ""d ~ as ~° ' ' ' ~b~tr~t;d~kha~of 150 feet mo~ or less Io said alh~, snd 000 '~ PAG~. #2 HUD DISCLOSURE/SETTLEMENT STATEMEN~ ~ 700 TOTAl. REALTOR'S COMMISSION 6X $83,000.00' 701 Listing Agency: J ERA-NRT, Ins, $8780 702 ~tllng Agency: J ......... - .; .: ........ . .... 703 Tmnaact~on i=ae: J . ERA-NRT, Inc. 800 ITEMS PAYAEL. E IN CONNECTION WITH LOAN 801 O~g~ation Fee J 802 Loan Discount J .80_3 Appraisal Fee 804 Credit Repo?t 805 Under~vrftin~.F_ee t 8o8 Document Prepamifon Fee 807 Flood Oertlflcatlo?i 808 Tax Se~ce Fee J 80g Lender Admin~tion fee: 810 Overnight Mail Cl~at~jes: Duncan & Hattmen, P.O. gOO ITEMS LENDER REQUIRES TO BE PAID IN ADVANCE 901 Interest i from 902 MoF~age insuradce 9% H~.ard ineuranc& g04 2002 S~hOOI ReaJ Estate Taxes ' ' 11 -Jul-02 Darlene Mo¥er. ~'ex Coll~t~ 1000 RESERVES DEPOSITED WiTH L~'NDER · , . · ~ . E$cr~ ~llec~d: I 1001 H~rd Ir~$uran~e mos. due:' X $ per mo.; 1002 Mortgage insurance · 1_~O3 CountylLooal ta~xee 1004 School taxes 1005 ._Aggregate AdiuMment .. 11 co TITLE CHARGES 1101 Se~emen! or ciosing fee: 1102 Abstract or title !seamh? --- 1103 Title Review: 1104 Title insurance binder:. 110,~ Docu meat_ pre~aration: 106 Notaq/fees: J Notaq/ 107 Attorney's fees! Saidia. 8huff, Flower & Undeey (Includes above imm' numl~m~-: 108 Ti'de lnsurance~ WILLIAM A. DUNCAN, AGENT FOR FIDELITY NAT]QNALTITLE O.OO 0.o0 0.00 · ' o~Oo (includes ~bov~ item numbers):1101 - 1104 Endorsements ....... 110g Owner's cover, s_e_ _ $83,000.00 111o Lender's coverage 1111 Ineure¢l Closin~ Letter Rdelity K~_~_~nal Ti'de. ' " 1300 GOVERNMENT RECORDING AND TRANSFER CHARGES 1201 Deed i ....... 29.S0 Mo~age 1202 Retease/~afisfbcfion 0.00 Assi~nment/~tip 1~02 County/Lo, al t'ren~fer ~x (1%) 12o3 Pa. $~te transfer tax ..1..e00 ADDITIONAL S~-iTLEMENT CHARGE~ leol Radon testtng~ · Sotrth CenVal Pa Home InsDection 18o~ Pe~t InSl~ec'~on: Inte~-tate Termite 0,00 0.00 PAiD iBY BORROWER 1oo.0o O.00 886.63 PA;D BY SELLER ....... 3780.00] ! -, ' , _: 0.00 0.00 6.00 O.00 6~8.75 29.80 O.00 ~. '125.00 ,1303 Water & 8ewdr Reading: #q4850A - - Carlisle ~:~rough ~ ~ ...... ERA, NFrr, inZ 'l t enzerea on ~in~ -' .................. = 25.00 0.00 4.00 0.O0 O.OI ~80,0{ 103 for Borrowe~, line 602 for Seller) ' 0.00 ~85.00 2388,88~ ~ D. NAME OF ~RRO~ER: E, N~E OF SE~ER: Kathy L. Zengerie Daniel J. Hancock H. SE'I-~:MEN'~ AGENT: DUNCAN & HARTMAN. I IRV NE ROW ICARLISLE., PA, 170~$ J. SUMMARY:_OFII~IORROWER'$ TRANSACTION 108 ~&l 'te. xe, n I ~ . ~e, 32-~-02 120 GROSS DUE FROM ~WER ' 201 Do~o~A~ ~ ~ H~n~ ' · 204 Mark A. Zei~ge~ie Deborah C, Han¢ocl< ~. ~'i' i u=M~-NT DA'i'~: Thursday 11 -Jul-02 4o~0_00i 420 GROSS DUE TO GELLER SOO ~507 4025.21 S20 I"' 175,59 65175 sos4.oOl O.OOl 25.21 75,5'9 Schedule H Exhibits Cumberland Co Hanover and H Carlisle, PA I RECEIPT FOR PAYMENT ~n~y!- Register Of Wills [gh Street 17013 Receipt Date Receipt Time Receipt No. 1/15/2002 08:14:53 1027983 HANCOCK JANE C File Number Remarks Transaction D~scription PETITION FOR PROBA SHORT CERTIFICATE EXTRA PAGES JCP FEE Cash Total Receive ......... 2002-00034 HANCOCK DANIEL JOSEPH (CASH) Distribution Of Receipt Payment Amount 115.00 18.00 6.00 5.00  144.00 144 O0 Payee Name CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D Carlir, le Memoxia] Service, Inc. 41 ~South Bedford Street Carlisle, PA 17013 Carlisle Memorlal ,Service, Inc.~ Carlisle, PA./ i Telel:hone 243-5480 Please design and builc,' the following memorial ,Z- " "- ..... 4/<, Die . ' Pos ...... .... .. Deposit ......... ~lan~ Due ..... Family Name ' Inscription ........... ~:. ~yle of ~er~ ' ' " Foundation to .3~ furnished by,: ..: ................. ~....' ............. ' .......................... M~lerial to be b st selecmd m~u.~enta~ gr~e and to be free from imperf~tions e~d first cla~ in e~ry ~y. W~k to ~ fini~h~ In · ~r~nllke mBnner. Sure _ ,,,,, ~,uuea Iii ~ ~o~tr~t Price. ..?tie .and right o.: possession a~d rerno,/a~ .......... . - Ill Work and ma ' ' .. . u, ~,u s~one, monument or appurtenances shall remain un te ~als ordered are ful/y p ad by purchaser or ourchasers J~ .... : ....... for all purposes in Cmtisle Memorial orcier, the undersigr ed 0ierelnatte .r k,~own as the pu..'c~ase~} agrees to pay Cad]sle Memorial Service · oceptance by Cmll.~e I~mo~al Sen~=e of thereof, this order a~leJl b~come a ~ ~trac~ betwee- ,~o.b..u. ~n~comple.~o_n ~t?.reof by Cmlisle Memorial Service se~d bi'~-': ;: :'-' '-'. ' ' ..Dollars.on or ,, ,m yu[c~aser alia carlisle Memn,,=~ e.-.,-' ............. ,,,,,~ ~.ga no~lco o1' completlofl dui7 authorized rep, e~rer, J~Uve of ~al:~ C. arfisle Mem3rial SaUce; it being understood that thL~ Instrument upon such acceptance covers all of the ...... -,-,,.<, -~,u, a~epmnce thereof ~n the space below by a agreement betwee~ the r~urchaeer ~-- ~. ......... st ..... ~ . . "'" ~,,,,e Mer~onai SePdce and that no agent or re resentative o~ Cad ' rtai SaUce has herein set for~ isle Memo made any' ' ' ' ' ' ' t gor the acceptartcu Of t~is o~er the contract ~o mede cannot be cancelled :nrdb~t 'i~Vh:gr:;' Oufn(-rlarhsl,e Mem.!al Service or in e,W --~nner except by ~mreame-., ............ . altered, or modified by the gurcha~er Y er~tood end a . . -= .... ,, w~mng u~t'Ween tile 13urcha~er and Car/Isle Memoria/~erv' original co, t of the /v;rklor work ,greed by ell para,es ,n,,olvea~ th,t in ca, of def, u/t by purchaser or purch,,r~, twenty-five per cant of the ;end mat.~rials oral:red, as the case may be, shall be specified correct liquidated damegel which Purchaser shall owe Carlisle M;mofial Service. I~s; sum a~ remov;,I and taking ~ossel~sion of [tare an.,, payee:! on account made prior to suCh default, this specification of damagel to be due regardle~ of defeutt.. / /m:)nu~e~r~a~e~m~rch~er~ha.~c~r~eM.m~.~$ervice~"~-~.~h '. ' ............................................... ~ ................................................... (SEAL) (SEAL) Catlike Memorial Sar dca fpl~rovat By ............ ' . i W ' · .' ................................. (SEAL) i h~te. Office Copy, Canary: Customer Copy; Pink: Salesman Copy;. Gold. Office Copy ...... CUMBERLAND LAW JOURNAl, 2 LIBERTY AVENUE .CARLISLE, PA 17013 FERUARY 1, 2002 Cun~ >efland Law Journal is published every Friday by the Cumband County Bar Association and is ;designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Kathleen K. Shaulis,ESQUIRE Jane C. Hancock aka Sara Jane Hancock,, ESTATE Le paid in ad~ · Advertise~ aent inserted on following dates: t' JANDARY 18, 25, FEBRUARY 1, 2002 Payment by Becl al advertisements must be received by Friday Noon. All legal advertising must be lance. :Make all checkS payable to: Cumberland Law Journal. received_ JANUARY 16, 2001 H. Morgenthal/Executive Director- Advertising Cost Proof of Publication Second Proof Request Payment received $ 75.00 $ 0.00 $ 0.00 $ 75.00 Total Amount Due $ 0.00 RETAIN THIS PORTION FOR YOUR RECORDS REMITTANCE ADDRESS , I BILL TO .................. P.O. BOX 1307J CARLISLE? PA 17013I LAW OFFICES SHAULIS, KATHLEEN AD NUMBER i J CLASS SALESPERSO, BILLING DATE LINES 216219, I 10 PUBLIC NOTICES 28 01/30/02 25 AD DESCRIPTION J START DATE STOP DATE CO-EXECUTOR'S NOTICE LETTERS TESTA 01/15/02 01/29/02 PUBLICATION I , INSERTIONS RATE NET AMOUNT GROSS AMOUNT DAYS RUN PURCHASE ORDER · Jane C Hancock PAY THIS AMOUNT 87.35 104.82' ............ __ AFTER 03/01/O2 M NAr. J. i Hancock 20~ SEYMOUR A. EWING Licensed Funeral ~Director CARLISLE, PA 17013 Parker Street, Carlisle,Pennsylvania 17013 EWING BROTHERS 630 SOUTH HANOVER STREET MEMBERS OF NATIONAL FUNERAL DIRECTORS ASSocIATION STEVEN A. EWING Licensed Funeral Director PHONE (717) 243-2421 January 3. ' 19 2002 WILLIAM M. EWING Licensed Funeral Director R cei ed January 3,2002 the sum of $ 4130.00 for the F~uneral of Jane C. Hancock to beput into a a irrevocable b~rial account in the Orrstown Bank. P~efessional Services ' - $ 2695.00~ ~ tal Sealer Casket. - ......... $ 1425.00 tive Death Certificates. ....... $ ....10.00 I Totals 4130.00 The Principa~sum and any interset from this account is to' :rPaidtoEwing Funeral Home at the time of the Brothers death. Se~ur A. Ewing L.F.D. · LEGAL RATE OF INTEREST AFTER THIRTM DAYS THE LAW O FICES~ OF KATHLEEN K. SHAULIS, EsQ. 44 SOUTH HANOVER STREET CARLISLE, PA 17013 PHONE: (71 7) 2436655 FAX: (717) 243-6618 EMAIL: JRS037CARLISLE@SPRINTMAIL.COM Daniel J. Ham )ck Kathy Lynn Z mgerle 205 Parker St~ eet Carlisle, PA 117013 Re' E~tate of Jane C. Hancock a/k/a Sara Jane Hancock No. #1002-2002 Account to ~!e 1/10/2002 Initial consultation 1/11/2002 Setcure EIN number 1/11/2002 A~rrange Advertising 1/30/2002 Reimbursement for Sentinel Advertising (See Attached) 2/13/2002 Reimbursement for CC Law Journal 2/16/2001 ~P.hyment (Check No. 101) 2/16/2002 P.hyment (Check No. 104) 7/29/2002 l~'reparation of Inheritance Tax Return Hrs/Rate Amount .75 hr/S100 hr $75.00 .5 hr/$100 hr 50.00 .5 hr/$100 hr 50.00 N/A 87.33 N/A 2.25 hr/S100.00 75.00 (262.33) (75.00) 225.00 Balance 7/! 1/02 $225.00 Schedule I Exhibits au Is Schedule J Exhibits COMMONWEALTH OF PENNSYLVANIA 'DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXE DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: SHAULIS KATH~LEEN KRISE 44 SOUTH HANOVER STREET CARLISLE, PA 17013 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 001393 ........ fold ESTATE INFORMATION: SSN: 201-18-5487 FILE NUMBER: 2102 ~ 0034 ' DECEDENT NAME: . HANCOCK JANE C DATE OF PAYMENT 07/10/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/06/2002 REMARKS: TOTAL AMOUNT PAID: KA' ~HY LYNN ZENGERLE & DANIEL J HONCOK C/O KATHLEEN SHAULIS ACN ASSESSMENT CONTROL NUMBER AMOUNT' 101 I $2,800.00 $2,800.00 SEAL CHECK# 12 INITIALS: CW RECEIVED BY: TAXPAYER MARY C. LEWIS REGISTER OF WILLS Th~s is ~0 c~rtit~, t~at i[he mtormanon here g~ven ~S correctly copied trbm an ong~n~ert ~te o Local Registry. The ~ ' ~ ' ' rigin~ cerrificate will be fonvarded t~ the State Vitfl Recor~ O~ce for permanent filing. . . WARNING: It is illegal to duplicate this copy by Photostat or photograph. ' Loc~ Registr~ P 7 9 [ 3 4 9 5 ~~~ JAN" 8 2002 No. ~ Date ~MMO~LTH OF P~NS~VA~A * DEP~ME~ OF H~L~ · V~AL RECORDS CERTIFICATE OF DEATH Ge ~rge stanford Cover. ~~e Goodye~ ,~1 J, H~cock' 205 Parker 9,2002 19-L ,PennsylvantalTO] STATE OF PENNSYLVANIA COUNTY OF CUMB~.RLAND estate of HANCC~K JANE 'C (~S'li, ~'l~'l', a/k/a HANCOCK SARA JANE in said county,/ deceased, to HANCOCK KATHY LYNN AKA SHORT CERTIFICATE MARY C. LEWIS Register for the Probate of Wills ~and Granting Letters'of Administration &c. in and for said County of CUMBERLAND do hereby certify that on the 15th day'of January A.D., Two Thousand and Two, Letters TESTAMENTARY in common form were granted by the Register of said County, on the , late of CARLISLE BOROUGH HANCOCK DANIEL JOSEPH ZENGERLE KATHY LYNN (LAST, or and that same .as not since been revoked; IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA,. this 15th day of January A.D.,. Two Thousand and Two. File No. 2002-00034 PA File No. 21-02-~034 Date of Death 1/06/2002 S.S. # :201-18-5487 WILL I, .JANE C. HANCOCK, aka SARA JANE HANCOCK, of 321 Arch Street, Carlisle, Cumberland County, Pennsylvania, declare .this to be my last will and revoke any will previously madle by me? . ITEM ONE. I direct that all my debts and funeral expenses, including my grave- marker, shall/be paid from my residuary estate as soon as practicable after my decease, as a/part of the expense of the administration of my estate. ITEM TWO. I give, devise and bequeath my entire estate both real and personal to my husband, W~LBUR SAMUEL HANCOCK, if he survives me by 60 days. In the event that he predelceases me or is not then living on the 61st day after my decease, then I give,~/devise and bequeath my entire estate to my children, DANIEL JOSEPH and KATHY LYNN equally, share and share alike, per stirpes. ITEM THREE. /I appoint my husband, WILBUR SAMUEL HANCOCK, Executor of this my last will. Should he fail to qualify or cease to act as Executor, I appoint D. To sell at public or private sale, for cash or credit, with or without security t~ exchange or to partition, real or personal property and to give options fo~ leases. .E. To make distribution in kind. F. To compromise claims. INiWITNESS WHEREOF, I have hereunto set my hand. this~ ,day of~ 1982. The prece¢ing instrument, consisting of this and twp/other typewritten pages each identifie? by the signature of the Testatrix, JANE ~. HANCOCK, aka SARA JANE HANCOCK, was on th~. day and date thereof signed, published .... and _declared_ _ by ................ th~ T~~ ..... ~JANE_C._ ~ ~m~v -,.~ o ........................ COMMONWEALTH OF PENNSYLVANIA I COUNTY OF CUMBERLAND : SS : I, JANE C. HANCC.CK, aka SARA JANE HANCOCK, whose name is.signed tO the attached instrument, hav:[ng been duly qualified according to laW, do hereby acknowledge that I signed a~d executed the instrument as my last will; that I. signed it willingly; and ~hat I signed it as my free and voluntary act for the purposes therein express ~_d. Sworn and affil med to and acknowledged before me this~-6%~ day of 1982. COMMONWEALTH OF PENNSYLV DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: KATHLEEN K SH 44 S HANOVER CARLISLE, PA ........ fold kNIA ~ULIS ESQUIRE STREET 701 3 ESTATE INFORMATIO~IN: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SSN: 201-18-5487 FILE NUMBER: / 2102-0034 DECEDENT NAME: / HANCOCK JANE C DATE OF PAYMENT: 08/07/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/06/2002 TOTAL AMOUNT PAID: HLEEN K SHAULIS ESQUIRE REMARKS: ACN ASSESSMENT CONTROL NUMBER REV-1162 EX(11-96) NO. CD 001488 AMOUNT 101 $169.58 $169.58 SEAL CHECK# 16 INITIALS: JA RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS STATUS REPORT UNDER RULE 6.12 Name of the Decedent: Jane C. Hancock A/K/A/ Sara Jane Hancock Date o~ Death: January 6, 2002 Will 034 of 2002 Admin. No.: 00034 of 2002 Pl.rsuant to Rule 6.12 of the Supreme Court Orphans' Court {ules, I report the following with respect to comple~mon of the administration of the above-captioned estate: State whether the administration of the estate is ~omplete: Yes X No If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Dat~ If the answer to No. 1 is Yes, state the following: a o do Did the personal representative file a final account with the court? Yes No The separate Orphans' Court No. (if any) for the personal representative's account is : Did the personal representative state an account informally to the parties in interest? Yes X No. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to his report. ignature Kathleen K. Shaulis 44 South Hanover Street Carlisle, PA 17013 (717) 243-6655 Capacity: X Personal Representative Counsel for Personal Representative IN RE : ESTATE OF JANE C. HANCOCK A/K/A SARA JANE HANCOCK, DECEASE~ RECEIPT AND RELEASE Thl circumstances leading up to the execution of this instrument are as follows: 1. Jan~ C. Hancock A/K/A Sara Jane Hancock died on January 6, 2002. Testamentary Letters were granted to Daniel J. Hancock and Kathy Lynn Zengerle, chi dren of the decedent and Executors of her Last Will and Testament dated May 25. 1982. 2. Pt~ suant to her Last Will and Testament, her children Daniel Joseph Hancock and Ka :hy Lynn Zengerle were her sole beneficiaries. 3. It s the desire of Daniel Joseph Hancock and Kathy Lynn Zengerle that their shares estate of Jane C. Hancock A/K/A Sara Jane Hancock, deceased, be them without the formality of a Court proceeding, and the said Daniel Hancock and Kathy Lynn Zengerle are willing to make such distribution. of this Receipt and Release. 4. of the Administration of the Estate of Jane C. Hancock Sara Jane Hancock, has been prepared by Daniel Joseph Hancock and Lynn Zengerle, Executors, and is attached hereto as Schedule "A." 5. consideration of the foregoing and intending to be legally bound hereby, Daniel seph Hancock and Kathy Lynn Zengerle: . A. Do hereby waive an audit of an account of the administration of the Estate of Jane C. Hancock A/K/A Sam Jane Hancock, deceased, by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania; B. Do hereby declare that they examined the attached informal account of the Estate of Jane C. Hancock A/K/A Sara Jane Hancock, deceased, that they fred it to be tree and correct in all particulars; that they accept and approve it with the same force and effect as if it had been prepared and duly filed with, audited, adjudicated and confirmed absolutely by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, and as if shares of the balance of principal and income had been duly awarded to them; C. Do hereby acknowledge that Daniel Joseph Hancock and Kathy Lynn Zengerle, Executors, have distributed the assets of the Estate of Jane C. Hancock A/K/A Sara Jane Hancock, deceased; D. Do hereby absolutely and irrevocably remise, release, quitclaim and forever discharge Daniel Joseph Hancock and Kathy Lynn Zengerle, Executors, their heirs, executors, administrators and assigns, of and from any and all action, reckonings, liabilities, claims and demands relating in any way to her administration of the Estate of Jane C. Hancock A/K/A.Sara-Jane Hancock, deceased; Do hereby indemify and hold harmless Daniel Joseph Hancock and Kathy Lynn Zengerle, Executors, their heirs, executors, administrators and assigns, from and against any and all claims, losses, liabilities and damage which they may suffer or to which they may be subjected by reason of her administration of the Estate of Daniel Joseph Hancock and Kathy Lynn Zengerle, and the distribution of the estate without an account or the approval of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, including but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other death taxes, together with interest and costs incidental thereto, relating in any way to the estate; and / ?' Do hereby declare, it to be there intention that this instrument shall be legally binding upon them and upon their heirs, executors, administrators and assigns. WitneSs: ~ ,ff /~ ( ~ Kathy Lynn Zeffgerle ' ' Date Daniel Joseph Hancock and Kathy Lynn Zengerle Executors for Estate of Jane C. Hancock A/K/A/Sara Jane Hancock Date o~ Death: Date o~ Executors' Appointment First omplete Advertisement of G:ant of Letters January 6, 2002 January 15, 2002 January 18, 2002 Put Z( durin( of Account: Daniel Joseph Hancock and Kathy Lynn , Executors, offer this account to acquaint sted parties with the transactions that~have occurred their achninistration of the estate. ASSET; irst Union Bank Savings account 3000012326300 CDA 24741204127728601252002 CDA 24741206088257511272002 IRA 25741006021744406062003 ?NC Bank Acct. No. 5000040021 Household goods, appliances, etc. $ 1437.22 2867.62 2808.22 4602.08 6090.89 2224.50 ASSETS $20030.5'3 DISB1 Funeral expenses (prepaid) Execrator' s Fee Atto :ney's Fees Probate Fees Petition, Short cert. Legal Advertising InhEritance Tax Filing Fee Pha~merica (prescriptions) Wes1 Shore EMS (Emergency Medical) Tho]nwald Nursing Home All ~irst Bank (#109047590002)-(line of credit) Fralk Potteiger's Auction House H & R Block (preparation of income tax) Pa. TOt NE". EX] EX Inheritance Tax AL DISBURSEMENTS 'ASSETS 'ECTED DISTRIBUTION 'ECTED DISTRIBUTION PER BENEFICIARY 5300.00 0.00 400.00 154.00 162.83 15.00 79.05 32.00 3849.83 3085.41 867.35 110~00 2969.58 $17025.50 $3005.48 $3005.48 $1502.74 "i o.Yl e HO-(\CL/ -, }oorr DO?>'{- -- ~I ~1.€.iV Of; W:{{S ~ [1I.cf!p<;L-j is --nut chc/C ~ "'f.00' (p... 1CZoV ~ ~ ~ a.... (Afl-/J1--&.c1 .sf..~ ~ab- {DA- a ~ [) v.r-4 . . ~d t&-"'- _.ol fJ-t Cr:m<fY...(Y11 w..R~ -fRo--f we cv<'-- f VV". ) cf'Q .. ~ rtAV'$'2fv~' !J ~ -VAdQA.Q)P-- ,!v.;.f ~ 6~ !!^t/dr4U' ~ r UV";1 ~ci., ~.i~ :2P 3 Wd~'T ~ . ~ ((0. 110 Ip -\ _'J S,;\' "...1 :;.*. >