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HomeMy WebLinkAbout03-0898PETITION FOR PROBATE and GRANT OF LETTERS Estate of also known as Paul L. Bistline Paul Lee Bistline ,cial Securi~. No. 174-20-0676 The petition of the undersigned respectfully represents that: To: Register of Wills for the County or' Cumberland in the Commonwealth of Pennsylvania Your petitioner(s), who is/are 18 years of age or older and the executors named in the last will of the above decedent, dated October 3, 2003 and codicil(s) dated N/A (state relevenat circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland the Decedent's last family or principal residence at (Mi~:za~.x Township) County, Pennsylvania, with 5 Hickory Road Carlisle, PA 17013 ~,%'o' ~'/-h',~,,~ (list street, number and municipality) Decedent, then 76 years of age, died at Carlisle Regional Medical Center, Carlisle, PA 17013 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: No Exceptions October 5, 2003 Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 5 Hickory Road Carlisle, PA 17013 $ $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary eon. Bis~l~_e 1932 Sterrett's/Gap Avenue Carlisle, PA 17013 (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) OATH OF PERSONAL REPRSENTATIVE COMMONWEATLH OF PENNSYLVANIA COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and trul~_nist~e ~g to laW.sworn to or affirmed and subscribed -- before me this 22nd day of October, 2003 Cathy~Jo B..i~tline 1932 Sterretts Gap Avenue Carliaile, PA 17013 C~.t-I..~ ~'o~ t~e~o-~ No. ~..!-~- Estate of Paul L. Bistline , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW~t/)~,J. ~/ ,2003 in consideration of the petition on the reverse side he~reof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated October 3, 2003 described therein be admitted to probate and filed of record as the last will of Paul L. Bistline and Letters Testamentary are hereby granted to Cathy Jo Bistline FEES ~.r_ob~gj;f~tters, Etc. $ Sh6d Certificates( ) $ Renunciation $ tTotal $ Filed..~-~ ~.-.. ~ .. ~ .~[ Regfsfer~6f Wills Robert G. Frey, 46397 ATTORNEY (Sup. Ct. I.D. No.) 5 South Hanover Street Carlisle, Pennsylvania 17013 ADDRESS (717) 243-5838 PHONE REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS Robert G. Frey and Trisha A. Lies (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that they were present and saw Paul Lee Bistline, also known as Paul L. Bistline, the testator, sign the same and that they signed as a witness at the request of testator in his presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Swom to or affirmed and s'al~scribed before me this ~ ~ day of Robert G. Frey (~ ,~ October, 2003 5 South Hanover Street, Ca, isle, PAx4J013 Trisha A. Liess 5 South Hanover Street, Carlisle, PA 17013 RENUNCIATION In Re Estate of Paul Lee Bistline, also known as Paul L. Bistline, deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned Jon Scott Bistline, one of the Executors named in the Last Will and Testament of the above decedent, hereby renounce(s) the right to serve as executor the estate and respectfully ask(s) that Letters Testamentary be issued to Cathy Jo Lebo. WITNESS my hand this .~qH'day of October, 2003. J~ Scott Bistline 1426 Bradley Drive, 1-214 Carlisle, PA 17013 LAST WILL AND TESTAMENT OF PAUL LEE BISTLINE I, PAUL LEE BISTLINE, unmarried, of Silver Spring Township (mailing address: 5 Hickory Road, Carlisle, Pennsylvania 17013), Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executors to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. 2. I direct that my funeral services be conducted by Hollinger Funeral Home and Cremation Services, Mt Holly Springs, Pennsylvania, in accordance with arrangements which I have previously made there, and for which I have already paid in full. I direct that my ashes be delivered to my friends GARY S. SMITH and JOANNE E. SMITH, husband and wife, of 2010 Mountain Pine Drive, Mechanicsburg, PA 17055 for disposition by them as they deem appropriate. 3. I direct that all inheritance, transfer, succession, estate and death taxes, including interest and penalties thereon, which may be payable on account of my death shall be payable from the residue of my estate regardless of whether the assets upon which such taxes are based are included in my probate estate. 4. I give and bequeath the sum of $20,000 to my friends DENNIS and PATRICIA V. BRANDT, husband and wife, as tenants by the entirety, of 229 East Hillcrest Drive, Carlisle, PA 17013, provided at least one of them shall survive me by a period of ninety (90) days, but should both of them fail to so survive me then the same shall lapse and be added to the residue of my estate. 5. I give and bequeath the sum of $15,000 to my friends GARY S. SMITH and JOANNE E. SMITH, husband and wife, as tenants by the entirety, of 2010 Mountain Pine Drive, Mechanicsburg, PA 17055 provided at least one of them shall survive me by a period of ninety (90) days, but should both of them fail to so survive me then the same shall lapse and be added to the residue of my estate 6. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath as follows: (a) One half (1/2) to my daughter, CATHY JO LEBO of 1932 Sterretts Gap Avenue, Carlisle, Pennsylvania 17013, provided she shall survive me by a period of ninety (90) days, but should she fail to so survive me then to such of her issue as shall survive me by a period of ninety (90) days, their heirs and assigns, per stirpes. (b) One half (1/2) to my brother, Franklin D. Bistline, in trust for the benefit of son JON SCOTT BISTLINE, of 1426 Bradley Drive, Carlisle, Pennsylvania 17013. My trustee shall manage said one half share as a separate trust and make distributions as follows: The net income from the trust shall be paid to my said son in quarterly or other convenient installments; ii. As much of the principal of my son's trust as my trustee may from time to time think desirable ~ taking into account funds available from other sources - for the welfare, comfort, health, education or other needs of my said son or any of his descendants either shall be paid to or for the benefit of that person for any of those purposes. iii. Upon the death of my son any undistributed income, together with the then remaining principal shall be distributed to my daughter Cathy Jo Lebo, her heirs and assigns, per stirpes. 6. I hereby nominate, constitute and appoint my said two children who are CATHY JO LEBO, and JON SCOTT BISTLINE, or either of them as Executors of this my Last Will and Testament, and I further direct that neither of them shall be required to post any bond to secure the faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. //~ ¢i~/~ 7. In addition to the powers conferred by law, my herein named Executors and Trustees are empowered: a. To invest any part of the trust corpus in such securities, investments, or other property as may be deemed advisable and proper, irrespective of whether the same are authorized for the investment of trust funds under the laws of any governing jurisdiction. b. With respect to any corporation, the stocks, bonds, or other securities of which may be held, to vote in person or by proxy on any shares of stock; to consent to the merger, consolidation or reorganization of such corporations; to consent to the leasing, mortgaging, or sale of the property of any such corporations; to make any surrender, exchange or substitution of such stocks, bonds, or other securities as an incident to the merger, consolidation or reorganization of such corporations; to pay all assessments, subscriptions and other sums of money which may be deemed wise and expedient for the protection and maintenance of the proportionate interest of the investment in such corporations; to exercise any option or privilege which may be conferred upon the holders of such stocks, bonds, or other securities of such corporations either for the conversion of the same into other securities or for the purchase of additional securities, and to make any and all necessary payments which may be required in connection therewith; and generally to have and exercise as to all such stocks, bonds, and other securities, the powers of an individual owner who is under trust obligation. c. To hold the trust corpus in one or more consolidated funds in which separate shares shall have undivided interests. d. To sell at public or private sale for cash or upon credit, or partly for cash and partly on credit, and upon such terms and conditions as shall be deemed proper, any part or parts of the trust estate, and no purchaser at any such sale shall be bound to inquire into the expediency or propriety of any such sale or to see to the application of the purchase money arising therefrom. e. To keep on hand and uninvested such moneys as may be deemed proper and for such period as may be found expedient. f. To compromise, settle, or arbitrate any claim or demand in favor of or against the trust estate. g. And authorized in the discharge of fiduciary duties, to employ counsel and to determine and to pay such counsel reasonable compensation which shall be charged against the principal or income of the trust fund, and shall further be entitled to charge against the principal or income such other reasonable expenses and charges as may be necessary and proper to incur for the proper discharge of fiduciary duties and for the proper management and administration of the trust estate. h. In making any division of property into shares for the purpose of any distribution thereof directed by the provisions of the trust, to make such division or distribution, either in cash or in kind, or partly in cash and partly in kind, as shall be deemed most expedient, and in making any division or distribution in kind may allot any specific security or property or any undivided interest therein to any one or more of such shares, and to that end may appraise any or all of the property so to be allotted and the judgment as to the propriety of such allotment and as to the relative value for purposes of distribution of the securities or property so allotted shall be final and conclusive upon all persons interested in the trust or in the division or distribution thereof. i. Authorized to register any shares of stock or other assets of any trust in their own names or in the name of a nominee. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on (2) pages, this 3rd day of October, 2003. I' I"~ / CC' "~'~" '" ., [_;'¥A" ,' ~-~-'~'2~'(~--''~ (SEAL) PAUL LEE BISTLINE Signed, sealed, published, and declared by PAUL LEE BISTLINE the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Paul L. Bistline Date of Death: October 5, 2003 Will No. 21-0.]- ~_~q ~ Admin. No. To the Register: I Certify that notice of beneficial interest required by Rule 5.6 (a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Name Address Jon Scott Bistline 1426 Bradley Drive, 1-214 Carlisle, Pennsylvania 17013 Cathy Jo Lebo 1932 Sterretts Gap Avenue Carlisle, Pennsylvania 17013 Notice has now been given to all persons entitled thereto under Rule 5.6 (a) except No Exceptions. Date: /November 05, 2003 Capacity: Name Robert G. Frey Address 5 South Hanover Street Carlisle, Pennsylvania 17013 Telephone 717-243-5838 Personal Representative X Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 003731 FREY ROBERT G 5 S HANOVER STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 174-20-0676 FILE NUMBER: 2103-0898 DECEDENT NAME: BISTLINE PAUL L DATE OF PAYMENT: 03/29/2004 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 10/05/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $32,538.00 REMARKS: ..... SEAL C LEBO CHECK# 117 TOTAL AMOUNT PAID: $32,538.00 INITIALS: VZ RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ; v.,z0o Ex 6_00, I .... . , C0M ONW TNOF I REV-1 PENNSYLVANIA j DEP~TMENT OF REVENUE J INHERITANCE TAX RFTH~N RE .............. SlDENT DECEDENT ~NTS~ FIRST, AND MIDDLE INITIAL) Z Z LU OFFICIAL USE ONLY FILE NUMBER 21-03-898 Paul L. Bistline DATE OF DEATH (MM-DD-YEAR) J DATE OF BIRTH (MM-DD-YEAR) 10/5/2003 I 1/5/1927 IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 174-20-0676 THIS RETURN MUST BE FILED IN DUpUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER Original Relum J-~4. Limited Estate [~6. Decedent Died Testate (Attach copy of Will) L_~2. Supplemental Return E~4a. Future Interest Compromise (date of death after 12-12-82) E~7. Decedent Maintained a Living Tn. Jst (Altach copy oi' Tn.~st) L J3. Remainder Relurn (date of death pdor Io 12-13-82) ~"~ 5. Federal Estate Tax Return Required ..~_0 8. Total Number of Safe Deposit Boxes E~9. Litigalion Proceeds Received NAME Robert G. Frey FIRM NAME (if Applicable) Fray &Tiley TELEPHONE NUMBER 717-243-5838 ~"'J 10. Spousal Poverty Credit (date of de&~h between t2-31-91 and 1-1-95) E~I 1. Election to tax under Sec. 9113(A) (Attach Sch O) COMPLETE MAILING ADDRESS 5 South Hanover Street Carlisle, PA 17013 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership orSole-Propdetorship (3), NONE 157 t]OC 205, i23 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) --'-]Separate Billing Requested 7. Inter-Vivos Transfer & Miscellaneous Non-Probate Property (Schedule G or L) 8. TOTAL GROSS ASSETS (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (4) NONE (e) NONE (7) ,, (9) 48~887 279,647 690,657 49,110 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 10) 1. TOTAL DEDUCTIONS (total Lines 9 & 10) 12. NETVALUE OF ESTATE (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (11) (12) (13) (14) 153 49,26.3 641,394 0 641,394 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate ,or transfers under Sec.9116 la)(1.2) I-. ,~ 16. Amount of Line 14 taxable at lineal rate I-- D. ~: 17. Amount of Line 14 taxable at sibling rate O 18. Amount of Line 14 taxable at collateral rate I.- 19. Tax Due 20. E~ x .0_ (15) 606,394 x .0 45 (16) x .12 (17) 35,000 x .15 (18) (19) 0 27,288 0 5,250 32,538 Paul L. Bistline 174-20-0676 217 · Dece(Jent's Complete Address:  STREET ADDRESS oad Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount STATE PA ZIP 17013 (1) 32,538 Interest/Penalty if applicable D. Interest E. Penalty Total Credits ( A + B + C ) (2) 0 0 32,538 Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check'box on Page '1 Line 20 to request a refund (4) 5. If line I + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 32,538 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred' b. retain the right to designate who shall use the property transferred or ils income; ........... [] ~-~ c. retain a reversionary interest; or .............................. r'~ ~-~ d. receive the promise for life of either payments, benefils or care? .................. 2. If death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .... 4. Did decedent own an Individual Retirement Account, annuity or other non-probate property which contains a beneficiary designation? ............................... [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PAET OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is Irue, and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge /~"]~N( _ __,;TURE OF PERSON R/~PO~R FLUNG RETURN DATE "ADI~RESS - .19.~'Z~Sterretts GaD Avenue, Carlisle, PA 17013 ~INAT~~T-HEt~ HAN ~..~N TATIV E ~ATE~J 5 South Hanover Street, Carli-~.~__. PA 1170~3J ' For dates of death on or after July 1, 1994 and before January 1, 1995, the lax rate imposed on the net value of transfers Io or for the use of the surviving spouse is 3% [72 P.S. Section 9116 (a)(l.1)(i)]. For dates of death on or after January 1, 1995, the tax rate imposed on Ihe net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. Section 9116 (a)(1.1)(ii)]. The statute does not exempt a Iransfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The lax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death Io or for the use of a nature parent an adop ye paranl or a stepparent of the child is 0%r72 P.S. section 9116(a)(1.2)]. ' The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. Section 9116(1.2) [72 P.S. Seclion 9116(a)(1)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. Section 9116(a)(1.3)] .A sibling is defined, under Section 9102, as an individual who has at least one parent in common with Ihe decedent, whether by blood or adoption. 217 REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF Paul L. Bistline SCHEDULE J BENEFICIARIES FILE NUMBER NUMBER I. NAME AND ADDRESS OF PERSON S~ECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Gary S. Smith 8, Joanne E. Smith 2010 Mountain Pine Drive Mechanicsburg, PA 17055 2. Dennis and Patricia Brandt 229 East Hillcrest Drive Carlisle, PA 17013 3. Cathy Jo Lebo 1932 Sterretts Gap Avenue Carlisle, PA 17013 4. Jon Scott Bistline 1426 Bradley Drive Carlisle, PA 17013 5. Cathy Jo Lebo 1932 Sterretts Gap Avenue Carlisle, PA 17013 RELATIONSHIP TO DECEDENT Do Not List Trustee s~_._ Friends Friends Daughter Son Daughter AMOUNT OR SHARE OF ESTATE $15,000 $20,000 1/2 of Residue Income on 1/2 of Residue held in trust Remainderman on 1/2 of Residue held in trust II. FOR NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE -- 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) ~N REV-1500 COVER SHEET AT RE~V-1502 E.~ %(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE A REAL ESTATE Paul L. Bistline 21-03-898 ALL REAL PROPERTY OWNED SOLELY OR AS A TENANT IN COMMON MUST BE REPORTED AT FAIR MARKET VALUE. Fair market value is defined as the price at which FILE NUMBER property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. REAL PROPERTY WHICH IS JOINTLY-OWNED WITH RIGHT OF SURVIVORSHIP MUST BE DISCLOSED ON SCHEDULE F. ITEM NUMBER DESCRIPTION 1. 5 Hickory Road, Carlisle (Silver Spring Township), Cumberland County, Pennsylvania See HUD-1 Settlement Statement attached. TOTAL (Aisc enter on Fine 1, Recapitulation)iS (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH 157,000 157,000 217 REV-1503 EX+ (6-98) oO COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS Paul L. Bistline FILE NUMBER 21-03-898 ITEM NUMBER 2. 3. 4. 5. All property jointly-owned with dght of survivorship must be disclosed on Schedule F. DESCRIPTION 16 shares Agere Systems, Class A (AGRA), 10/3/03: 3.14; 10/6/03: 3.05; Ave: 6.19 396 shares Agere Systems, Class B (AGRB), 10/3/03: 3.14; 10/6/03: 3.05; Ave: 6.19 1500 shares Lucent (LU), 10/3/03: 2.22; 10/6/03: 2.30; Ave: 4.52 1800 shares M&T Bank (MTB), 10/3/03: 90.20; 10/6/03: 90.55; Ave: 90.38 675 shares PNC Bank (PNC), 10/3/03: 48.81; 10/6/03: 49.28; Ave: 49.05 VALUE AT DATE OF DEATH 99 2,451 6,780 162,684 33,109 TOTAL (Also enter on line 2, Reca (If more space is needed, insert additional sheets of the same size) 205,123 AT R,~V-1508 EX .~ (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY Paul L. Bistline FILE NUMBER 21-03-898 Include the prcceeds of litigation and the date the prcceeds were received by the estale. ALL PROPI=~(i Y JOINTLY-OWNED WITH THE RIGHT OF SURVIVORSHIP MUST BE DISCLOSED ON SCHEDULE F. ITEM NUMBER 3. 4. 5. DESCRIPTION 2001 Chevrolet Monte Cado, see Kelley Blue Book valuation attached 1989, Chevrolet Beretta, see Kelley Blue Book valuation attached M & T Bank Account No. 454087 M & T Bank Account No. 15004198248063 Real Estate tax proration, see HUD-1 settlement statement attached VALUE AT DATE OF DEATH 10,050 625 4,879 32,219 1,114 TOTAL (Also enter on line (If more space is needed, insert additional sheets of the same size) 48,887 297 ' j CO""O"W~LT, O,~'E, NS¥,V,,, .. / INTER-VIVOS T~NSFERS & '"~T~f;~¢~¢" ~ MISC. NON-PROBATE PROPER~ ESTATE OF Paul L. Bistline 21-03-898 ITEM NUMBER 1. DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIp TO DECEDENT AND THE DATE OF TRANSFER. A'FI'ACH A COPY OF THE DEED FOR REAL ESTATE. USG Annuity & Life Co., Account No. 088886, IRA with benefi( This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. designation 1/2 interest in 1932 Sterretts Gap Ave., transferred within 1 ye~ of date of death. See Assessment information attached. Assessed value (94,540) x Common level ratio factor 1 DATE OF DEATH VALUE OF ASSET 182,057 94,540 58,320 % OF DECD'S EXCLUSION INTEREST 0 50.00% 3,000 100.00% 3,000 TOTAL_(_AIso enter on line 7 (If more space is needed, insert additional sheets of the same size) Condominium Unit, 146 Bradley Drive, 1-214 transferred within 1 year of date of death. See Assessment information attached. Assessed value (94,540) x Common level ratio factor 1 TAXABLE VALUE 0 182,057 44,270 0 0 0 53,320 0 0 0 0 0 0 0 0 o 0 0 o 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 o o o 0 0 o 0 279,647 ,317 REV-1511 EX + (12-99) SCHEDULE H "FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Paul L. Bistline 21-03-898 Debts of decedent mus~t be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES: AMOUNT I. 5. 6. 7. 8. 9. 10. ~/E COSTS: Personal Representative's Commissions Name o[ Personal Representalive (s) Cathy Jo Bistline Social Secudty Number(s) / E~N Number or' Personal Representative(s) Streel Address 1932 Sterretts Gap Avenue City Carlisle Stale PA Year(s) Commission Paid: 2004 187-44-9621 Zip 17013 Atlomey Fees Family Exemption: (If decedenl's address is not the same as claimant's, atlach explanalion) Claimant SIreet Address City Relationship of Claimant to Decedent Slate ~Zip Probate Fees Accountant's Fees Tax Return Preparer's Fees Expenses of sale of' real estate see HUD-1 settlement statement attached Expenses of repair & maintenance of real estate pending sale, see statement attached Final medical expenses, see statement attached Filing fees, Inheritance Tax Return 15,000 10,500 405 included w/atty fees included w/arty fees 17,760 4,486 944 15 TOTAL (Also enter on line 9 (If more space is needed, insert additional sheets of the same size) 49,110 ~REV-1512 EX+ (6-98) AT COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE I ~EBTs OF DECEDENT, MORTGAGE LIABILITIES, & LIENS Paul L. Bistline FILE NUMBER 21-03~898 ITEM NUMBER Include unreimburse~d medical expenses. DESCRIPTION Bankcard Services VALUE AT DATE OF DEATH Final telephone bill to Sprint 62 91 TOTAL (Also enter on line (If more space is needed, insert additional sheets of the same size) 15;I West Shore EMS Nitech Three Springs Praclice Digestive Disease Associates Central Fenn E.R. Cdterium Yeingst 518.74 29.43 34.33 33.01 28.40 300.00 Total Medical Expenses 943.91 PPL PPL Penn Waste Supplies to Castle's Lumber Yard PPL PPL Installation of carpet to Eric Hench Walmart cash receipts for supplies Tractor Supply Company receipts for supplies Trash disposal at Landfill to Boyd E. Diller, Inc. Uni Mart cash receipts for supplies Lowes cash receipts for supplies 93.93 162.92 36.70 29.58 278.36 345.76 2,012.00 589.90 9.60 181.25 8.22 738.24 Total expenses related to maintaining & repairing Real Estate 4,486.46 A. US DEPARTMENT OF HOUSING and URBAN DEVELOPMENT SETTLEMENT STATEMENT HERITAGE SETTLEMENT SERVICES, LLC 4705 East Trindle Road Mechanicsburg, PA 17050 Phone: (717) 975-2117 Fax: (717) 730-9665 OMB No. 2502-0265 B. TYPE OF LOAN 1. [ ] FHA 2. ( J PMNA 3. I J CONV. UNINI 4. [~'~ VA 5. ( J CONV. INS. 6. FILE NUMBER: I 7. LOAN NUMBER: 993206 336420 8. MORT. INS. CASE NO.: C NOTE: This Iorm is furnished Io give you a slatemenl eL aclual selllemenl cos s Amou I ' 1010 6 0 5 7 8 9 6 3 '(P.o.c.)'werepaidoulside heclosinn. I ,, ..... ~^..,_.:_,_ . nspmdloandby hese emenla enlareshow Items 7, he, are .ho....o,~ ,u,., urmahonal nut-o- .... ~ ......... g n. market D NAME AND ADDRESS OF BORROWER: ~ ~. o~ a,,u ~,e nol incluDeD in the tolals. E. NAME AND ADDRESS OF SELLER: 1 ~ NAME AND ADDRESS OF LENDER: Jennifer j. Hall Paul L. Bistline Estate First Command Bank James D. Hall G. PROPERTY LOCATION: Carlisle, Pa 17013 5 Hickory Road Silver Spring Township Cumberland County N. SETTLEMENT AGENT: Heritage Settlement Services, PLACE OF SETTLEMENT: LLC Jack Gaughen Realtor ERA, Carlisle, Pa J. SUMMARY OF BORROWER'S TRANSACTION: Ioo. GROSS AMOUNT DUE FROM BORROWER lei Conlract sales price t 157000.0( m2. Personal Setllement char es Io borrower (line 1400) 6 5 6 8 io4. 105 40,1. 405 02 MO GROSS AMOUNT DUE FROM BORROWER ?0o AMOUNTS PAID BY OR IN BEHALF OF BORROWEI Deposit or earnest money rincipal anlount of new I djuslmenls for ite~ seller in advance Io Io Io bjecl Io 209. ._~Adjustrnents for items u~ seller Cilyl'rown lax [o lax Io lo 214 220 TOTAL PAID BY/FOR BORROWER 494. 619.78 164682.79 3000. 162181.00 FROM OR TO BORROWER 303 CASH ([ ] FROM) ([ ].~'O)SORROWER r Or Borrower's Signalure I. SETTLEMENT DATE: 02/23/04 K. SUMMARY OF SELLER'S TRANSACTION: 400. GROSS AMOUNT DUE TO SELLER 4ol. Conlract sale_s price 157000. 00 Adjuslments for ilems pai_.~.~ seller in advance ID 494.57 619.78 4os. Assessmellls lo 400 SCHOOL 02~ 410. lO 411. 412. 420 GROSS AMOUNT DUE TO SELLER 500 REDUCTIONS IN AMOUNT DUE TO SELLER (see instruclions) cheer (line 1400) tak~l to ~ 5o4 PayoU o! First Morlgage Loan sos Payoff el Second Morlgage Loan 158114.35 17760. 506. 507. 508. 509 165181.00 16468~ 16518] 498.21 Adjustments for items unpaid b, seller lax Io tax Io 512. Assessmenls to 513. SCIIOOL lo 516. 519 52O TOTAL REDUCTION AMOUNT DUE SELLER 17760.47 Seller's Signalui'e 600 CASH AT SETTLEMENT TO OR FROM SELLER 6el. Gross amount due to ~ 158114.35 - 6o~.Less reduction a~ ~'~'~. ~ 603 CASH ([~TO) ([ ] FROM) SELLER ~53 . 8 8 FIUD- 1 Rev. 5/86 702. 703. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 9~ SETTLEMENT STATEMENT 700. TOTAL SALESJBROKER'S COMMISSION based on price S 1 5 7 0 0 0 . 0 0 Division of Commission (lin_.____e 700) as Iollows: TO t a ].: ~ 0 . 0 0 80.00 to ERA NET, Inc $ Io ~ ' Commission paid al Seltlemenl ~actio 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan OriginalJon Fee I . 0 0 0 % 802. Loan Discounl % Appraisal Fee Io 804. Credil Report Io 805. Lenders Inspeclion Fee Insurance Applicalion Fee to Assumption Fee Admin Fee Fe Resear si,. Fld Crt ERA NRT, Inc. First Command $1621.81_~~ Steve W. Barrett CBC Companies First Command Bank First Command Bank Firs_~tCommand Bank American Flood Fee 905. VA Fund Fe VA lO00. RESERVES DEPOSITED WITH LENDER FOR I001. Hazardlnsurance 3 mo.~,$ 59.99 /mo. te Insurance mo, @ $ /mo. :ih mo. @ $ /mo. nly lax 1 mD. OS 41.93 /mo. ~oo5. Is mo. ~, $ /mo. School Tax 8 mD. OS 137.35 /mo. 1007. mo. O $ /mo. mo. @ $ /mo. I00. TITLE CHARGES Seltlemenl or ~ lee Io Abslracl time search to Title examinalion Io Tille insurance binder to '105. Documenl preparalion Io 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 90 I. {nleresl Iron] 0 2~-----'~ @ $ /day le Insurance Premium lot mo. Io 903. Hazard Insurance Premium Ior ~yrs, to L)'SAA yrs. lo Pierson & P__attersn UMI~ No. ZbU~;Zbb Fage PAID FROM PAID FROM BORROWER'S I SELLER'S FUNDS AT I FUNDS AT ~MENT SETTLEMENT * 300.00 * 32.40 * 150.00 _* 35.00 * 94.00 * 12 .50 5181.0 179.97 41.9~ 1098.80 -629 178.85 719.88 ,lees IO ~ Public 's lees to Fre~ 6.00 (i"cludes above items No,:) 1105 etc. _Poc 1~08. Tille Insurance 1o Herita e Settleme ..... ~ ~ (includes above ilems 1102 1103 1 ~~~ * 1337.75 Lender's coverage $ 162, 181 1~ ~.~ .~ I I0. Owner's coverage $ 15--"~'-~ 0 0 0 ~ ~,l. CSL ~ ~ .:1 ~z. Tax Cert ~ /~-Tax _De_bra Wies~ _j ..... 6.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES Debra Wie~ --iL 5 6 8. 5 7 r201. Recordinglees: Deeds 38.50 Uo~ 70.50 Misc.$ -~ 109.0~ Deed $ 1 5 7 0.0 0 Morlg__age $ ~ 1203. Slale lax/slamps: Deeds --1570.00Mortgages 4~'~~ __-- ~__~ 157o.oo nment Recorder of Deeds 27.0_~ ~ D.E.W. & Sons -~.00J 2-~-~.-~-~ 1300. ADDITIONAL SETTLEMENT CHARGES ~ lo ~t Trtmnt to Interst--~ | :1 Inspection to Sw 600.00 29i. S~---- '"~O. TOTA~S~LEMENTC.A.GEB ~e., .... ',.e.,O~ .......... ,..,~ T ~-'~:~--~-'~ i77~0.~ 3 bearl.g accounl ~n a Federally insured ms uho~ and Io c~ ii ed any mlorasI So o have careful y rev owed Ihe HUD So _ HUD CERTIFICATION OF BUYERS AND SELLERS W S e i i e~A S S i .a"~onm..- ~ ' u,emen~51alemen~and o hebeslol ........... ~t $4~000.00 MaTBa December 9, 2003 Frey & Tiley Attorneys At Law 5 South Hanover Street Carlisle, PA 17013 499 Mitchell Street, Millsboro, DE 19966 Estate of Paul L. Bistllne Date of Death: October 5, 2003 Social Security Number: 174-20-0676 Dear Mr. Frey: In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the following accounts. 1. Account Type ........................... Checking Account Account Number. ...................... 454087 Ownership (Names oj') .............. Paul L. Bistline Opening Date ........................... 09/01/67 (account closed 11/19/03) Balance on Date of Deatl~ .........$4,878.72 Accrued Interest $ 0.97 Total .................................. $4,879.69 Account Type ........................... Savings Account Account Number ....................... 15004198248063 Ownership (Names o:0 ..............Paul L. Bistline Opening Date ........................... 12/19/00 (account closed 11/04/03) Balance on Date of Death. .........$32,205.29 Accrued Interest $ 14.12 Total. ...................................... $32,219.41 · Page 2 Account Type ........................... Brokerage Account Account Number. ...................... C3X049921 Ownerstu'p (Names of) .............. Paul L. Bistline Opening Date ........................... 06/05/01 December 9, 2003 For additional information on the above brokerage account please call 1-800-724- 7788. Sincerely, Charlene Warrington, Associate I (302) 934-2722 A US. DEPARTMENT OF HOUSING and URBAN DEVELOPMENT SETTLEMENT STATEMENT OMB No. 2502-0265 HERITAGE SETTLEMENT SERVICES, LLC B. TYPE OF LOAN 4705 East Trindle Road ~. I ] FHA 2 [ I FMNA 3. [ I CONV. UNINS. Mechanicsburg, PA 17050 ,. [xi VA s ~; CONY ~NS. Phone: (717) 975-2117 Fax: (717) 730-9665 6. FILE NUMBER: I A LOAN NUMBER: 993206 336420 · I 8. MORT. INS. CASE NO,: 101060578963 C. NOFE: This Iorm is furnished 1o give you a slalement pi actual seltlement cosls. Amounts paid lo and by the setllement agent are shown. Ilems marked '(p o c.)' were paid oulside the closing; Ihey are shown here tot informational purposes and are nol included in the tolals. D. NAME AND ADDRESS OF BORROWER: E, NAME AND ADDRESS OF SELLER: F NAME AND ADDRESS OF LENDER: Jennifer O. Hall Paul L Bistline Estate First Command Bank James D. Hall ' G PROPERTY LOCATION: H. SETTLEMENT AGENT: Carlisle, Pa 17013 I. SETTLEMENT DATE: 5 Hickory Road Heritage Settlement Services, LLC 02/23/04 Silver Spring Township PLACE OF SETTLEMENT: Cumberland County Jack Gaughen Realtor ERA, Carlisle, Pa J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: lo0 GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER I01 Contract sales price 157000,00 40 tContracl sales price 157000,00 to2 Personal propert__.____~y 402 Personal~ lo3 Selllemenl char__r.~es to borrower (line 1400_~..____~.~) 6 56 8 , 4 4 403. 105 40,1 . 405 Adjuslmenls lot item~ seller in advance Adjustmenls Ior ilems paid by seller in advance 10~66 Cily/Town lax to I -- 406. Cilyfrown lax ,o, Counl._______y ,ax 02__/~ 494.57 4o,.Coun,y lax 02/~ 494.57 108 Assessments Io 4o8 Asses~menls lo ,os SCHOOL 02/~ 619. 78 409 SC,OOL 02~ ,0 lo 619.78 120 GROSS AMOUNT DUE FROM BORROWER _~ 164682 . 79 420 GROSS AMOUNT DUE TO SELLER 158114 . 35 20O AMOUNTS PAID BY OR IN BEHALF OF BORROWER 5O0 REDUCTIONS IN AMOUNT DUE TO SELLER -~0~ Deposil or earnesl money 3 0 0 0,0 0 soLExcess depo~sil (see inslructions) 202 Princip._~al amount of new loan(s) 1 6 2 1 8 1 , 0 0 s02.Setllement char es to seller (line 1400) 1 7 7 6 0.4 7 ~_o3 Existing loan(s) laken subject Io 204 503.Exislin.,q~an(s) taken s._.ubject to s04.Payofl ot Firsl Mortgage Loan 505 Payoff of Second Morlgage Loan 509 Adjustments lot items un~eller Adjustments for items u~ seller 2._[10 Cily/Town lax to 510.Cily/Town tax'~ Io 220 TOTAL PAID RY/FOR BORROWER 1 6 5 1 8 1, 0 0 520 TOTAL REDUCTION AMOUNT DUE SELLER 1 7 7 6 0 4 7 300. CASH AT SETTLEMENT FROM OR TO BORROWER 60o CASH AT SETTLEMENT TO OR FROM SELLER 3ol. Gross amount due from borrower (line 120) 1 6 4 6 8 2 , '7 9 6oLGross amount due to seller (line 420) 1 5 8 1 1 4 , 3 5 302 Less amoun~/Ior borrower (lin___~e 220-"---'~'~- 1 6 5 1 8 1,0 0 602.Less reduction amount due sell-~er (linde 520) 1 7 7 6 0,4 7 303 CASH([ ]FROM) ([ ],3[O) BORROWER 498,21 s°3CASH([XTO) ([ ] FROM)$1=III=R 140353, 88 or 8orrowor's Signalure Soller's Signalure HUD-1 Rev. 5/86 SE'rrLEMENT CHARGES U.S DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT 993206 700. TOTAL SALES/BROKER'S COMMISSION based on price S 1 5 7 0 0 0 . 0 0 Division ol Commission (line 700) as follows: Total: $0 . 00 70~ $ 9180.00 to ERA NRT, Inc. 702. $ Io 703. Commission paid aI Seltlement 704. Transactio 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan _Origination Fee I . 0 0 0 % 802. Loan Discount % 803. Appraisal Fee I0 804. Credit Report to 805. Lenders Inspeclion Fee le Insurance Applicalion Fee I0 '. Assump{ion Fee 808. Admin Fee 809. Courier Fe 8~o. Tax Resear 8~ Fld Crt 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 90,. Interesllrom 02~/04 to02 2J_29_~----~ rtgage hmurance Premium for 903~ Hazard Insurance Premium for Fee 905. VA Fund Fe 000. RESERVES DEPOSITED WITH LENDER FOR 001 Hazard Insurance 3 mo. @ $ ~age Insurance mo, @ $ 3try/Town tax mo. @ $ ERA NRTL Inc. First Command ~1621.81p_g_~ Steve W. Barrett CBC Companies First Command Bank First Command Bank First Command Bank American Flood mo. Io l~Fo USAA y-~s. ~o Pierson VA 59.99 /mo. /mo. /day Pattersn tax 1 mo.@$ 41.93 /mo. 1005. Assessmenls mo. @ $ /mo. 1006. School Tax 8 mo.@$ 137.35 /mo. IOO7. mo. @ $ /mo. mo, @ $ /mo. 1100. TITLE CHARGES I I0t Selllemenl or closing lee 1102. Abstract or tille search 103. Tille examinalion to 104. Title insurance binder to 1~05. Documenl preparalion 1o fees to )rney's fees Io (includes above ilems No.:) 1~08. Tille Insurance to (includes above ilems No.:) IO9 Lender's coverage S I IO. Owner's coverage $ ~I~. CSL Notar~ Public Fre~& TileL 1105 etc. poc Heritac~ Settlement 1102 1103 1104 100 300 81 162,181 157__~000 Lawyers Title Debra Wiest ~2. Tax Cert Tax Debra Wiest 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES ~201. Recording fees: Deeds 38.50 Mortgages 70.50 Uisc.$ ;tamps: Deeds 1570.00Mortgages 203. Stale lax/stamps: Deeds 1570 . 0 0Morlga___.__ge $ 204. Assiqnment Recorder of Deeds )tic D.E.W. & Sons 1300. ADDITIONAL SETTLEMENT CHARGES 5181.00 179.97 41.93 1098.80 -629.64 * 300.00 * 32.40 * 150.00 * 35.00 * 94.00 * 12.50 * 178.85 * 719.88 ~ to Trmit Trtmnt to Interstat ~ 784.40 est Inspeclion to H[----~-7~at~s'-~3 6 0 DC (b) ,303. ~ra -- ~3-~. Brick Work - ~ .... Earl Mo er 308 Chzmne Sw · 600.00 400. OTAL SETTLEMENT CHARGES (enler on Pines 103 and 502. Seclions J and K) - Pall.e. ag,** Ihal .o abilily is ns .... d by Soil eme.l A-Chi ~ ~ .... 6568: 17760.47 have .... HUD CERTIFICATION OF BUYERS AND SELLERS * Seller Assist $4,000. O0 carmu,y reviowed Ina HUD- I Selllemenl Sta~emenl and o Ihe bas o my knowledge and be e il is a Irue and accura[e slalemeni ol a receipls and disbursemon s m~ .... y .... u~y m~/his ,r~n~aclion. I ,urlh ..... lily Ihal, I ........ ived a copy o, Ibc H it e I IUO-I Sel~e~i S elbme/I w~i~' have ~e~) - 6.00 t 430~38 * 1139.62 27~00 1570.00 95~ 245.00 WSO.corn Stock Charting for AGRA Sys Inc (AGRA) (NYSE) U.S. Dollar Date Price High Low Volume 10/3/03 3.29 3.5 3.24 8,076,900 No Splits Get another quote any day after 1/2/1970 1/2/1970 Symbol: J Date: 110/3/03. ~ Copyright © 1998-2004 ~ Inc. Historical and current end-of-day data provided by FT Interactive Data. 2 1'~$3r,th (Daily) ':':':'Big¢:har'b.,:: rr, .1. mo 2mo 3mO 6mo lyr 3yr 5yr 2/23/04 2:28 Copyright © 2004 Dow Jones & Company, Inc. All Rights Reserved http'//www bigcharts com/custom/ws'ie/ws'bb h~stormal as 9s mb r s J J p y a a& sd 8630&c .... ' ' ' · = g ' = lose_date=lO/3/03 Page Iofl WS&com Stock'Charting for AGRA 2/23/04 2:28 PM Sys Inc (AGRA) (NYSE) U.S. Dollar Date Price High Low Volume 10/6/03 3.18 3.34 3.16 7,173,200 No Splits Get another quote any day after 1/2/1970 1/2/1970 Symbol: I Date: 1'10/6/03 ~ Copyright © 1998-2004 Bi.qCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data. 2 Mor~h (Daily) ,:~:,B ,.:lCharb.,:: m 1mo 2mo 3mo _6.mo lyf 3yr 5yr Copyright © 2004 Dow Jones & Company, Inc. All Rights Reserved ~ttp'//www bigcharts com/custom/ws le/ws bb h[stortcal as Os mb a o o .I J P Y fa&close date I ~ · ' ' " ' ' ' ' · . = g _ = 0 o2F6~2FO3&x=12&y=7 Page I of I W~J.com Stoe,k Charting for AGRB Sys Inc (AGRB) (NYSE) U.S. Dollar Date Price High Low Volume 10/3/03 3.14 3.33 3.08 4,159,200 No Splits Get another quote any day after 1/2/1970 1/2/1970 Symbol: ( Date: 110/3/03 ~ Copyright © 1998-2004 .Bi.qCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data. 2/23/04 2:29 PM Copyright © 2004 Dow Jones & Company, Inc. AFl Rights Reserved htt~://www~bigcharts.c~m/cust~m/wsjie/wsjbb~hist~rica~as~?symb=agrb&c~se-date=~%2F3%2F~3&x=~ I&y=13 Page ot'l W~.com Stoc~ Charting for AGRB Sys Inc (AGRB) (NYSE) U.S. Dollar Date Price High Low Volume 10/6/03 3.05 3.2 3 2,186,500 No Splits Get another quote any day after 1/2/1970 1/2/1970 Symbol: I Date: i' 0/6(03 Copyright © 1998-2004 Bi.qCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data. 2 t~,$.~nth (Daily) 1mo 2mo 3mo ':~:,BigChzr~..,::¢, m iI I~,.I t J ~"'1 ? :-:;. 50 :-:;. 25 2/23/04 2:29 PM Copyright © 2004 Dow Jones & Company, Inc. All Rights Reserved http'//www bigcharts com/custom/ws'ie/ws bb historical as % mb a r o o .~ 'J J P Y b&close date · ' ' ' ' ' ' ' ' = g _ =IO~2F6~_FO3&x=6&y=IO Page W~J.corn Stoc~ Charting for LU 2/23/04 2:22 PM Technologies Inc. (LU) (NYSE) U.S. Dollar Date Price High Low Volume 10/3/03 2.22 2.26 2.19 44,344,200 No Splits Get another quote any day after 1/2/1970 1/2/1970 Symbol: ~ Date: ~10/3/03 ~ Copyright © 1998-2004 BiqCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data. 2 Month (Daily) ':-;-:'OigCl',ar~.,::o m iV 2.7.5 l mo 2mo ~mo _6,mo lyr 3yr 5yr Copyright © 2004 Dow Jones & Company, Inc. All Rights Reserved htt~://www~bigcharts~c~m/cust~m/wsjie/wsjbb~hist~r~caI~asp?symb=~u&s~d=863~&c~se-date=~0/3/03 Page I of l WSJ.com Stock Charting for LU 2/23/04 2:23 PM Technologies Inc. (LU) (NYSE) U.S. Dollar Date Price High Low Volume 10/6/03 2.3 2.3 2.23 34,679,500 No Splits Get another quote any day after 1/2/1970 1/2/1970 Symbol: j Date: [:10/6/03 ~ Copyright © 1996-2004 .Bi.qCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data. 2 blonth (Daily') ':-;-:'BigC:harts.: :, m ,-,%. 3.25 ,i 3.00 I""? 2.75 '41 2 5El ~, ........ ""'"'-' '"'-'" 2. 1mo 2mo 3mo 6mo lyr 3yr Copyright © 2004 Dow Jones & Company, Inc. All Rights Reserved W~,J.com Sto~k Charting for MTB 2/23/04 2:23 PM & T Bk Corp (MTB) (NYSE) U.S. Dollar Date Price High Low Volume 10/6/03 90,55 90.85 89.65 201,900 No Splits Get another quote any day after 1/2/1970 1/2/1970 Symbol: I' Date: 110/6/03 ~ Copyright © 1998-2004 ..Bi.qCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data. 2 IV$.~r~th (Bail',Q ,:~:,BigL-:harts.,:.:, m l mo 2mo 3mo 6mo lyr 3yr 5yr Copyright © 2004 Dow Jones & Company, Inc. AFl Rights Reserved http'//www bigcharts com/custom/ws le/ws bb historical as 9s I b m o o J J p y'a tb&close date · ' ' " ' - ' ' · · = _ =lO~2F6%2FO3&x=17&y=8 Page of I WSJ.com Stock Charting for MTB 2/23/04 2:23 PM & T Bk Corp (MTB) (NYSE) U.S. Dollar Date Price High Low Volume 10/3/03 90.2 90.69 89.23 376,400 No Splits Get another quote any day after 1/2/1970 1/2/1970 Symbol: J Date: [10/3/03 ~ Copyright © 1998-2004 Bi,qCharts.com Inc. Historical and current end-of-day data provided by FT Interactive Data. 2 I'u$3nth (Dzil'?') 1mo 2mo 3mo §mo lyf 3yr 5yr Looking [br analysis, commenl and a little gossip about thc 20(14 election season? Copyright © 2004 Dow Jones & Company, Inc. All Rights Reserved. W~J.com Stock Charting for PNC 2,'23/04 2:24 PiVI PNC Financial Services Group, Inc. (PNC) (NYSE) U.S. Dollar Date Price High Low Volume 10/3/03 48.81 49.39 48.61 704,300 No Splits Get another quote any day after 1/2/1970 1/2/197O Symbol: I Date: l'10/3/03 ~ Copyright © 1998-2004 ~ Inc. Historical and current end-of-day data provided by FT Interactive Data. 2 Month (Daily) .!.mo 2mo 3mo 6mo 5 0 Looking fbi' analv.qs eommen an? a lit.tie gossip about ~ the 2004 election season? Copyright © 2004 Dow Jones & Company, Inc. All Rights Reserved http'//www bigcharts com/custom/ws'ie/ws'bb historical as ns mb nc&: o o J J P Y p cl se date I .... ' ' ' ' = _ = 0 o2F3~2FO3&:x=9&y=7 Page WS].com Stock Charting for PNC 2/23/04 2:24 Financial Services Group, Inc. (PNC) (NYSE) U.S. Dollar Date Price High Low Volume 10/6/03 49.28 49.49 48.7 360,100 No Splits Get another quote any day after 1/2/1970 11211970 Symbol: ~i Date: J10/6/03 ~ Copyright © 1998-2004 ~ Inc. Historical and current end-of-day data provided by FT Interactive Data. 2 ~,$.~ntl', (Daily) ':~'BigCI-art~.,: :m 1mo 2mo 3m__.~o 6mo lyr 3yr 5yr Copyright © 2004 Dow Jones & Company, Inc. All Rights Reserved ht£p//www b'gcharts com/custom/ws ~e/ws bb h~stor cai as os mb o o : ' ' J' ;'J - ' ' · P- Y =pne&close_date=10g2F6g2F03&x=g&y=8 Page Iofl Kelley Blue Book Uscd Car Values Kelley Blue Book THE I'RUSI'Ei) RESOURCE ................................ kbb,c~m New Caf' Pricing Build a Car In centives Quality Ratings Ownership Cost My Car's Value Used Car Retail Free Price Quote Buy a Used Car Sell Your Car Motorcycles Financing Insu ra Lemon Check WarranUes Car Revfews Car PrevTews Dec)sion Guides Ad¥iceI Engine: V6 3.4 Liter ........................ : Trans: Automatic Free Newsletter Drive: Front Wheel Drive About kbb Mileage: 13,109 Home Equipment Shop over 50 Air Conditioning models from Power Steering 7 great brands Power Windows Power Door Locks I Body Style [Zip Code ] Blue Book MARKET WATCH. IEnter emai, address Blue Book Private Party Report Pennsylvania · November 21, 2003 2001 Chevrolet Monte Carlo LS Coupe 2D Buy a New Car Buy a Used Car List Your Car For Sale Online Free Lemon Check Auto Loans from 3.75% APR Znsurance Ouote Warranty Quote Print "For Sale" Sign Payment Calculator _Sell your car on eBa¥ Motors Tilt Wheel AM/FM Stereo Cassette Dual Front Air Bags ABS (4-Wheel) Traction Control Consumer Rated Condition: Good "Good" condition means that the vehicle is free of any major defects. The paint, body and interior have only minor ([if any) blemishes, and there are no major mechanical problems. Tn states where rust is a problem, this should be very minimal, and a deduction should be made to correct it. The tires http//www kbb corn/kb/k] dll/kw kc urgkbb. PA,369243,PA041 & 17013;cpe+p;&723;Chevrolet;2001%20Monte%20Carlo&3;CH;Q I ,Learn more Sign Upi i 1t/21/03 1:53 PM Page I of 2 Kelley Blue Book Used Car Values Y~a' car. Y:ou~ c~,~-e_ ~ur match and have substantial tread wear left. A clean title history is assumed. A "good" vehicle will need some reconditioning to be sold at retail; however major reconditioning should be deducted from the value. Most recent model cars owned by consumers fall into this category. Private Party Value $10,050 Private Party value represents what you might expect to pay for a used car when purchasing from a private party. It may also represent the value you might expect to receive when selling your own used car to another private party. Get the late~ BI ue Book Get a Used Car Trade-In Value _Get Invoice & MSRP on New Car~. G~et a Person to Person Auto Loan 1t/21/03 1:53 PM Copyright © 2003 by Kelley Blue Book Co., All Rights Reserved. Nov-Dec 2003 Edition. The specific information required to determine the value for this particular vehicle was supplied by the person generating this report. Vehicle valuations are opinions and may vary from vehicle to vehicle. Actual valuations will vary based upon market conditions, specifications, vehicle condition or other particular circumstances pertinent to this particular vehicle or the transaction or the parties to the transaction. This report is intended for the individual use of the person generating this report only and shall not be sold or transmitted to another party. Kelley Blue Book assumes no responsibility for errors or omissions.(v.03:tl4) http://www.kbb.com/kb/ki.dll/kw, kc. ur?kbb. PA;369243 ;PA041 & 17013 ;cpe+p;&723 ;Chevrolet;2001%20Monte%20Carlo&3 'CH'Q l Page 2 of 2 Kelley Blue Book Used Car Values Kelley Blue Book THE TRUSTED RESOURCE - .............................. kbb.com .... a Ca~' ~ ~OOK t'nvate Party Report ~nce~~,~ · Insy vania · November 21. 2003 39 Chevrolet Beretta Coupe 2D j; Quality Ratings h Ownership Cost bly Car's Value Used Car Retail Free Price (~uote Buy a Used, Car Sell Your Car :~ik Motorcycles: Financing ~nsul'a Lemon Check Wa rra pries Car Reviews Car Previews Decision Guides Advice Fre~ Newsle~er A bout kbb Home iine: 4-Cyl. 2.0 Liter ins: Automatic ye: Front Wheel Drive age: :[14,954 ',prnent Shop over 50 t Air Conditioning models from i Power Steering 7 great brands or i Blue Book MARKET WATCH_ [Enter email address Buy a New Car Buy a Used Car List Your Car For Sale Onlin¢ Free Lemon Check Auto Loans from 3.75% APR Insurance Quot¢ Warranty Quote Print "For Sale" Sign Payment Calculator Sell your car on eBay Motors AM/FM Stereo [B~dy insumer Rated Condition: Foar~ Style ~rway. iir" condition means that the vehicle probably has some mechanica r ~~n~;trii~rd~;~Sv~ but is still in safe running condition. The paint, body and/ ~lzip'c°deIi . orR to be performed by a professional in order to be sold. The tires need to be replaced. There may be some repairable rust damage. The value of cars in this category may vary widely. A clean title history is assumed. Even after significant reconditioning this vehicle m~y not qualify hHP://w~vw.kbb.com/kb/k d /k~v kc ur~kbb PA'245385 PA04 & .~ ~ .... ' ' ~ ~u~;cpe+p;&723;Chevro[et;1989%20Beretta&lS;CH;K3 .L, earn more.. 11/21/03 1:56 PM Page I of 2 Kelley Blue Book Used Car Values ~ c~r. Your c~:~e~ YmJr Jack will pick up his new SUV AS SOOD as he gets back from his hike WCr Your car. Your choice. Your way. the Blue Book Suggested Retail value. Party Value $625 'ate Party value represents what you might expect to pay for a used car purchasing from a private party. [t may also represent the value you Iht expect to receive when selling your own used car to another private f. ietthe late~ Blue Book ~;,~ur;~-,J~ ~t a Used Car Trade-in Value (.t ]nvoice& MSRP on New Cars :t a Person to Person Auto Loan yr ght © 2003 by Kelley Blue Book Co., All Rights Reserved. Nov-Dec 2003 Edition. The L'ific information required to determine the value for this particular vehicle was supplied ihe person generating this report. Vehicle valuations are opinions and may vary from icle to vehicle. Actual valuations will vary based upon market conditions, specifications, icle condition or other particular circumstances pertinent to this particular vehicle or the isaction or the parties to the transaction. This report is intended for the individual use he person generating this report only and shall not be sold or transmitted to another !y. Kelley Blue Book assumes no responsibility for errors or omissions.(v.03114) 11/21/03 1:56 PM hr~P://www.kbb.com/kb/ki.dll/kw.kc.ur?kbb. PA;245385;PA041 & 17013;cpe+p;&723;Chevrolet;1989%20Beretta& 15;CH;K3 Page 2 of 2 J~ ?. X ~,m Date of Death: Date of Appointment: Date of First Complete Advertisement of Letters: Accounting for the Period: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 00947 of 2003 FIRST AND FINAL ACCOUNTING OF C. Michael Ratcliff, Executor For ESTATE OF MARTHA C. RATCLIFF, Deceased October 27, 2003 November 14, 2003 November 28, 2003 October 27, 2003 to January 31, 2004 Purpose of Account: C. Michael Ratcliff, Executor, offers this account to acquaint interested parties with the transactions that have occurred during his administration. The account also indicates the proposed distribution of the estate. It is important that the account be carefully examined. Requests for additional information, or questions, or objections, can be discussed with: Stanley A. Smith, Esquire Rhoads & Sinon LLP One South Market Square 12th Floor P.O. Box 1146 Harrisburg, PA 17108-1146 (717) 233-5731 506827. t Estate of Martha C. Ratcliff Summary of Account Principal Receipts Net Gain on Sales or Other Dispositions Less Disbursements: Funeral Expenses Administrative Expenses Federal & State Taxes Balance Before Distributions Less Distributions to Beneficiaries Principal Balance On Hand For Information: Investments Made Unpaid Expenses Unrealized Gains and Losses Income Receipts Net Gain on Sales or Other Dispositions Less Disbursements: Balance Before Distributions Less Distributions to Beneficiaries Income Balance on Hand For Information: Investments Made Unpaid Expenses Unrealized Gains and Losses Combined Balance on Hand Page 2 7 9 10 11 15 23 23 23 29 30 31 32 33 33 33 4,352.54 1,576.24 634.20 628,079.87 0.00 628,079.87 6,562.98 621,516.89 14,835.00 606,681.89 3,563.24 0.00 3,563.24 0.00 3,563.24 0.00 3,563.24 610,245.13 (1) Estate of Martha C. Ratcliff Receipts of Principal FACE 7,648.59 No. of Shares 30O 300 528 5OO 200 200 Cash and Cash Equivalents Alliance Gov't Reserves MMKT PNC Bank Certificate of Deposit No.: 31300212927 Total Cash and Cash Equivalents Stocks Air Prods & Chems Inc Common New York Stock Exchange Dividend at Date of Death Allete Inc Common New York Stock Exchange Bp P L C Adr Sponsored New York Stock Exchange Conagra Foods Inc Common New York Stock Exchange Consolidated Edison Inc Common New York Stock Exchange Dominion Res Inc Va New Common New York Stock Exchange Total Stocks Inventory Value 1012712003 128,313.47 8,353.44 Inventory Value 1012712003 13,944.00 69.00 8,734.50 22,368.72 11,955.00 8,165.00 12,159.00 136,666.91 77,395.22 Par Value Bonds, Debentures & T-Bills Inventory Value 1012712003 (2) Receipts of Principal (Continued) Par Value 25,000 25,000 100,000 75,000 25,000 25,000 45,000 10,000 15,000 5,000 10,000 25,000 Bonds, Debentures & T-Bills GNMA 272072 8.50 111521 Interest to Date of Death GNMA 317734 7.50 031522 GNMA 325146 7.50 051522 GNMA 325162 7.50 061522 GNMA 379225 7.00 021524 GNMA 391555 8.00 071524 Interest to Date of Death GNMA II 1655 7.00 042024 Interest to Date of Death Lackawanna PA 5.10 100119 Interest to Date of Death Lancaster PA 4.50 050128 Interest to Date of ~eath Loyalsock PA 4.30 110117 Interest to Date of Death Nanty Glo PA 3.00 090106 Interest to Date of Death PA ST 4.75 010122 Interest to Date of Death Inventory Value 10/2712003 482.69 2.69 1,904.70 4,880.81 3,763.39 6,249.41 3,220.10 17.13 5,463.66 26.03 10,504.00 36.83 14,151.15 330.00 5,034.65 101.11 10,383.60 46.67 25,165.25 382.64 (4) Receipts of Principal (Continued) Par Value 10,000 10,000 10,000 10,000 5,000 5,000 1,000 10,000 5OO 40,000 Bonds, Debentures & T-Bills PA ST HI ED 5.00 061524 Interest to Date of Death PA ST Turnpike 5.00 120121 Interest to Date of Death Phil PA SD 4.50 040123 Interest to Date of Death Pitts PA NPHA 5.125 120105 Interest to Date of Death Pittsbrg PA 5.05 090125 Interest to Date of Death Swarthmore PA 5.00-091512 Interest to Date of Death United States Svgs Bds Serhh 12/1/87-12/1/97 Us Savings Bonds Hh United States Svgs Bds Serhh 12/1/87-12/1/97 Us Savings Bonds Hh United States Svgs Bds Serhh 12/1/87-12/1/97 Us Savings Bonds Hh UST Bond 6.00 021526 Interest to Date of Death Inventory Value 10127/2003 10,203.10 183.33 10,364.30 202.78 9,697.00 32.50 10,699.10 207.85 5,061.35 39.28 5,513.30 29.17 1,000.00 10,000.00 500.00 44,012.50 476.09 (5) Receipts of Principal (Continued) Par Value 50,000 50,000 50,000 Bonds, Debentures & T-Bills UST Inflt 3.00 071512 Interest to Date of Death UST Note 5.50 051509 Interest to Date of Death UST Strip 0.00 111526 Total Bonds, Debentures & T-Bills Tangible Personal Property Jewelry per appraisal Total Tangible Personal Property Total INVENTORY RECEIPTS SUBSEQUENT TO INVENTORY 10/27/2003 Alliance Gov't Reserves MMKT Total RECEIPTS SUBSEQUENT TO INVENTORY Total Receipts of Principal Inventory Value 1012712003 54,703.13 423.91 55,578.13 1,233.02 13,690.50 Inventory Value 1012712003 14,835.00 396,898.73 2,284.01 14,835.00 $ 625,795.86 2,284.01 $ 628,079.87 (6) Estate of Martha C. Ratcliff Gains and Losses on Sales or Other Dispositions of Principal Net Gain 10/28/2003 Collection Alliance Gov't Reserves MMKT Net Proceeds $ Carried at 130,597.48 130,597.48 11/26/2003 Collection Janney Montgomery Scott Individual Account of Martha C. Ratcliff Account No.: HB23 6857-9695 Net Proceeds $ Carried at 32,474.40 32,474.40 12/01/2003 Collection Janney Montgomery Scott Individual Account of Martha C. Ratcliff Account No.: HB23 6857-9695 Net Proceeds $ Carried at 0.70 0.70 12/01/2003 Collection Janney Montgomery Scott Individual Account of Martha C. Ratcliff Account No.: HB23 6857-9695 Net Proceeds $ Carried at 969.69 969.69 12/02D003 Collection Janney Montgomery Scott Individual Account of Martha C. Ratcliff Account No.: HB23 6857-9695 Net Proceeds $ Carried at 0.70 0.70 12/17/2003 Collection Janney Montgomery Scott Individual Account of Martha C. Ratcliff Account No.: HB23 6857-9695 Net Proceeds $ Carried at 2,311.54 2,311.54 Net Loss (7) 01/31 ~2004 Gains and Losses on Sales or Other Dispositions of Principal (Continued) Net Gain Net Loss Collection Janney Montgomery Scott Individual Account of Martha C. Ratcliff Account No.: HB23 6857-9695 Adjustment of Janney Montgomery for placing money in incorrect account Net Proceeds $ Carried at 110.00 110.00 Total Gains and Losses No Gain or Loss $ 0.00 $ 0.00 $ 0.00 (8) Estate of Martha C. Ratcliff Disbursements of Principal Date Paid Amount Paid 12/12/2003 12/10/2003 12/08/2003 10/31/2003 10/31/2003 01/31/2004 01/30/2004 Funeral Expenses David W. Home Funeral Myers Funeral Rolling Green Cemetary Grave Marker Total Funeral Expenses Administration Expenses FRGN-W/H @ SOURCE Withholding H. Chalfant Ratcliff Dividends Issued H. Chalfant Ratcliff Dividends Issued Joseph A. Rosi Jewelers Jewelery Appraisal Total Administration Expenses Federal and State Taxes Register of Wills, Agent Payment of inheritance tax Total Federal and State Taxes Total Disbumements of Principal $ 1,728.54 2,624.00 $ 4,352.54 22.88 706.73 51.63 795.00 $ 1,576.24 634.20 $ 634.20 $ 6,562.98 (9) Estate of Martha C. Ratcliff Distributions of Principal to Beneficiaries Distribution Value C. Michael Ratcliff 12/31/2003 Jewelry per appraisal Hugh Chalfant Ratcliff, Jr. 12/31/2003 Jewelry per appraisal Total Distributions of Principal 7,417.50 $ 7,417.50 7,417.50 7,417.50 $ 14,835.00 (10) Estate of Martha C. Ratcliff Principal Balance On Hand Face Value 7,648.59 Cash and Cash Equivalents Janney Montgomery Scott L1C Estate Account No.: HB23 7175 4297 PNC Bank Certificate of Deposit No.: 31300212927 Inventory Value 37,609.02 8,353.44 No. of Shares 300 300 528 500 200 200 Total Cash and Cash Equivalents Stocks Air Prods & Chems Inc Common New York Stock Exchange Allete Inc Common New York Stock Exchange Bp P L C Adr Sponsored New York Stock Exchange Conagra Foods Inc Common New York Stock Exchange Consolidated Edison Inc Common New York Stock Exchange Dominion Res Inc Va New Common New York Stock Exchange 13,944.00 8,734.50 22,368.72 11,955.00 8,165.00 12,159.00 45,962.46 Total Stocks 77,326.22 (11) Par Value 7,000 10,000 10,000 10,000 10,000 30,000 25,000 75,000 51,333 70,000 30,000 25,000 25,000 100,000 75,000 25,0O0 25,000 45,000 10,000 Principal Balance On Hand (Continued) Inventory Value Bonds, Debentures & T-Bills CAT Ser S 0.00 081508 Cranberry PA 5.00 120125 Cumberland PA 3.75 111514 Delaware River PA 6.00 011510 Erie PA 5.00 120120 FHLMC 14-1079 8.00 020117 GNMA 02116 7.00 112025 GNMA 09110 8.50 011506 GNMA 09661 8.00 081506 GNMA 207023 8.50 041517 GNMA 221130 7.00 101517 GNMA 272072 8 50 111521 GNMA 317734 7 50 031522 GNMA 325146 7 50 051522 GNMA 325162 7 50 061522 GNMA 379225 7 00 021524 GNMA 391555 8 00 071524 GNMA II 1655 7.00 042024 Lackawanna PA 5.10 100119 Interest at Date of Death 5,949.06 10,119.80 9,809.80 11,373.70 10,371.00 5,183.09 2,754.33 394.40 259.70 4,015.82 7,163.77 283.80 1,892.53 4,404.31 3,387.91 6,234.95 3,203.78 4,551.34 10,504.00 36.83 (12) Par Value 15,000 5,000 10,000 25,000 10,000 10,000 10,000 10,000 5,000 5,000 1,000 10,000 Principal Balance On Hand (Continued) Inventory Value Bonds, Debentures & T-Bills Lancaster PA 4.50 050128 Loyalsock PA 4.30 110117 Nanty Glo PA 3.00 090106 Interest at Date of Death PA ST 4.75 010122 PA ST HI ED 5.00 061524 Interest at Date of Death PA ST Turnpike 5.00 120121 Phil PA SD 4.50 040123 Interest at Date of Death Pitts PA NPHA 5.125 120105 Pittsbrg PA 5.05 090125 Interest at Date of Death Swarthmore PA 5.00-091512 Interest at Date of Death 14,151.15 5,034.65 10,383.60 .46.67 25,165.25 10,203.10 183.33 10,364.30 9,697.00 32.50 10,699.10 5,061.35 39.28 5,513.30 29.17 United States Svgs Bds Serhh 12/1/87-12/1/97 Us Savings Bonds Hh United States Svgs Bds Serhh 12/1/87-12/1/97 Us Savings Bonds Hh 1,000.00 10,000.00 (13) Par Value 5oo 40,000 50,000 50,000 50,000 Par Value 100,000 Principal Balance On Hand (Continued) Inventory Value Bonds, Debentures & T-Bills United States Svgs Bds Serhh 12/1/87-12/1/97 Us Savings Bonds Hh UST Bond 6.00 021526 Interest at Date of Death UST Inflt 3.00 071512 UST Note 5.50 051509 UST Strip 0.00 111526 500.00 44,012.50 476.09 54,703.13 55,578.13 13,690.50 Total Bonds, Debentures & T-Bills Mutual Funds GNMA 5.500% Due 08/16/32 DTD 11/01/03 94,935.19 Total Mutual Funds Total Balance on Hand $ 388,458.02 $ 94,935.19 $ 606,681.89 (14) Estate of Martha C. Ratcliff Information Schedules - Principal New Investments GNMA 5.500% Due 08/16/32 DTD 11/01/03 11/24/2003 100,000 Total New Investments Par Purchased Exchanges and Stock Distributions Air Prods & Chems Inc Common New York Stock Exchange 10/27/2003 300 Shs. 300 Shs. Received On Hand Inventory Value $ 100,787.50 $ 100,787.50 Inventory Value $ 13,944.00 $ 13,944.00 Allete Inc Common New York Stock Exchange 10/27/2003 300 Shs. 300 Shs. Received On Hand $ 8,734.50 $ 8,734.50 Bp P L C Adr Sponsored New York Stock Exchange 10/27/2003 528 Shs. 528 Shs. Received On Hand $ 22,368.72 $ 22,368.72 $ 5,949.06 $ 5,949.06 CAT Ser S 0.00 081508 10/27/2003 7,000 7,000 Par Par Received On Hand Conagra Foods Inc Common New York Stock Exchange 10/27/2003 500 Shs. 500 Shs. Received On Hand $ 11,955.00 $ 11,955.00 (15) Information Schedules - Principal (Continued) Exchanges and Stock Distributions Consolidated Edison Inc Common New York Stock Exchange 10/27/2003 200 Shs. 200 Shs. Cranberry PA 5.00 120125 10/27/2003 10,000 Par 10,000 Par Cumberland PA 3.75 111514 10/27/2003 10,000 Par 10,000 Par Delaware River PA 6.00 011510 10/27/2003 10,000 Par 10,000 Par Dominion Res Inc Va New Common New York Stock Exchange 10/27/2003 200 Shs. 200 Shs. Erie PA 5.00 120120 10/27/2003 10,000 10,000 Par Par FHLMC 14-1079 8.00 020117 10/27/2003 30,000 11/17/2003 12/15/2003 o~/15/2oo4 Par 30,000 Par Received On Hand Received On Hand Received On Hand Received On Hand Received On Hand Received On Hand Received Return of principal Return of principal Return of principal On Hand Inventory Value $ 8,165.00 $ 8,165.00 $ 10,119.80 $ 10,119.80 $ 9,809.80 $ 9,809.80 $ 11,373.70 $ 11,373.70 $ 12,159.00 $ 12,159.00 $ 10,371.00 $ 10,371.00 $ 6,962.73 (28.32) (510.46) (1,240.86) $ 5,183.09 (16) Information Schedules - Principal (Continued) Exchanges and Stock Distributions GNMA 02116 7.00 112025 10/27/2003 25,000 11/20/2003 12/22/2003 01/20/2004 Par 25,000 Par GNMA 09110 8.50 011506 10/27/2003 75,000 11/17/2003 12/15/2003 01/15/2004 Par 75,000 Par GNMA 09661 8.00 081506 10/27/2003 51,333 11/17/2003 12/15/2003 01/15/2004 Par 51,333 Par GNMA 207023 8.50 041517 10/27/2003 70,000 11/17/2003 12/15/2003 01/15/2004 Par 70,000 Par GNMA 221130 7.00 101517 10/27/2003 30,000 11/17/2003 12/15/2003 01/15/2004 Par Received Return of principal Return of principal Return of principal On Hand Received Return of principal Return of principal Return of principal On Hand Received Return of principal Return of principal Return of principal On Hand Received Return of principal Return of principal Return of principal On Hand Received Return of principal Return of principal Return of principal Inventory Value $ 3,240.55 (171.18) (179.71) (135.33) $ 2,754.33 $ 511.72 (29.95) (54.63) (32.74) $ 394.40 $ 448.82 (13.90) (167.22) (8.00) $ 259.70 $ 4,057.71 (13.98) (13.87) (14.04) $ 4,015.82 $ 7,237.90 (24.56) (24.71) (24.86) (17) Information Schedules - Principal (Continued) Exchanges and Stock Distributions GNMA 221130 7.00 101517 (Continued) 30,000 Par GNMA 272072 8.50 111521 10/27/2003 25,000 11/17/2003 12/15/2003 01/~5/2oo4 Par 25,000 Par GNMA 317734 7.50 031522 10/27/2003 25,000 11/17/2003 12/15/2003 01/15/2004 Par 25,000 Par GNMA 325146 7.50 051522 10/27/2003 100,000 11/17/2003 12/15/2003 Ol/15/20o4 Par 100,000 Par GNMA 325162 7.50 061522 10/27/2003 75,000 11/17/2003 12/15/2003 01/15/2004 Par 75,000 Par On Hand Received Return of principal Return of principal Return of principal On Hand Received Return of principal Return of principal Return of principal On Hand Received Return of principal Return of principal Return of principal On Hand Received Return of principal Return of principal Return of principal On Hand Inventory Value $ 7,163.77 $ 482.69 (2.49) (2.50) (193.90) $ 283.80 $ 1,904.70 (3.97) (4.18) (4.02) $ 1,892.53 $ 4,880.81 (447.93) (14.78) (13.79) $ 4,404.31 $ 3,763.39 (11.13) (11.20) (353.15) $ 3,387.91 (18) Information Schedules - Principal (Continued) Exchanges and Stock Distributions GNMA 379225 7.00 021524 10/27/2003 25,000 Par 11/17/2003 12/15/2003 01/15/2004 25,000 Par Received Return of principal Return of principal Return of principal On Hand Inventory Value $ 6,249.41 (4.79) (4.82) (4.85) $ 6,234.95 GNMA 391555 8.00 071524 10/27/2003 25,000 11/17/2003 12/15/2003 01/15/2004 Par 25,000 Par GNMA 5.500% Due 08/16/32 DTD 11/01/03 11/24/2003 100,000 12/16/2003 01/16/2004 Par 100,000 Par GNMA !I 1655 7.00 042024 10/27/2003 45,000 11/20/2003 12/22/2003 01/20/2004 Par 45,000 Par Jewelry per appraisal 10/27/2003 12/31/2003 Received Return of principal Return of principal Return of principal On Hand Purchased Return of principal Return of principal On Hand Received Return of principal Return of principal Return of principal On Hand Received Distribution To C. Michael Ratctiff On Hand $ 3,220.10 (5.45) (5.22) (5.65) $ 3,203.78 $ 100,787.50 (2,311.54) (3,540.77) $ 94,935.19 $ 5,463.66 (419.94) (411.55) (80.83) $ 4,551.34 $ 14,835.00 (7,417.50) $ 7,417.50 (19) Information Schedules - Principal (Continued) Exchanges and Stock Distributions Jewelry per appraisal (Continued) 12/31/2003 Distribution To Hugh Chalfant Ratcliff, Jr. Inventory Value $ (7,417.50) Lackawanna PA 5.10 100119 10/27/2003 10,000 Par 10,000 Par Lancaster PA 4.50 050128 10/27/2003 15,000 Par 15,000 Par Loyalsock PA 4.30 110117 10/27/2003 5,000 Par 5,000 Par Nanty Glo PA 3.00 090106 10/27/2003 10,000 Par 10,000 Par PA ST 4.75 010122 10/27/2003 25,000 Par 25,000 Par PA ST HI ED 5.00 061524 10/27/2003 10,000 Par 10,000 Par PA ST Turnpike 5.00 120121 10/27/2003 10,000 Par 10,000 Par Received On Hand Received On Hand Received On Hand Received On Hand Received On Hand Received On Hand Received On Hand $ 10,504.00 $ 10,504.00 $ 14,151.15 $ 14,151.15 $ 5,034.65 $ 5,034.65 $ 10,383.60 $ 10,383.60 $ 25,165.25 $ 25,165.25 $ 10,203.10 $ 10,203.10 $ 10,364.30 $ 10,364.30 (20) Information Schedules - Principal (Continued) Exchanges and Stock Distributions Phil PA SD 4.50 040123 10/27/2003 10,000 Par 10,000 Par Pitts PA NPHA 5.125 120105 10/27/2003 10,000 Par 10,000 Par Pittsbrg PA 5.05 090125 10/27/2003 5,000 Par 5,000 Par PNC Bank Certificate of Deposit No.: 31300212927 10/27/2003 7,648.59 Par 7,648.59 Par Swarthmore PA 5.00-091512 10/27/2003 5,000 Par 5,000 Par United States Svgs Bds 12/1/87-12/1/97 Us Savings Bonds Hh 10/27/2003 1,000 Serhh Par 1,000 Par United States Svgs Bds 12/1/87-12/1/97 Us Savings Bonds Hh 10/27/2003 10,000 Serhh Par 10,000 Par Received On Hand Received On Hand Received On Hand Received On Hand Received On Hand Received On Hand Received On Hand Inventory Value $ 9,697.00 $ 9,697.00 $ 10,699.10 $ 10,699.10 $ 5,061.35 $ 5,061.35 $ 8,353.44 $ 8,353.44 $ 5,513.30 $ 5,513.30 $ 1,000.00 $ 1,000.00 $ 10,000.00 $ 10,000.00 (21) Information Schedules - Principal (Continued) Exchanges and Stock Distributions United States Svgs Bds Serhh 12/1/87-12/1/97 Us Savings Bonds Hh 10/27/2003 500 Par 500 Par UST Bond 6.00 021526 10/27/2003 40,000 40,000 Par Par UST Inflt 3.00 071512 10/27/2003 50,000 50,000 Par Par UST Note 5.50 051509 10/27/2003 50,000 50,000 Par Par UST Strip 0.00 111526 10/27/2003 50,000 Par 50,000 Par Received On Hand Received On Hand Received On Hand Received On Hand Received On Hand Inventory Value $ 500.00 $ 500.00 $ 44,012.50 $ 44,012.50 $ 54,703.13 $ 54,703.13 $ 55,578.13 $ 55,578.13 $ 13,690.50 $ 13,690.50 (22) Estate of Martha'C. Ratcliff Receipts of Income Income Collected Air Prods & Chems Inc Common New York Stock Exchange 11/10/2003 Dividend on 300 Shares Less accrued portion Allete Inc Common New York Stock Exchange 12/01/2003 Dividend on 300 Shares Alliance Gov't Reserves MMKT 11/14/2003 Dividend 11/28/2003 Dividend 12/31/2003 Dividend 01/15/2004 Dividend BpPLC Adr Sponsored New York Stock Exchange 12/08/2003 Dividend on 528 Shares Conagra Foods Inc Common New York Stock Exchange 12/01/2003 Dividend on 500 Shares 69.00 (69.00) 84.75 10.69 3.87 3.20 1.55 228.80 130.00 0.00 84.75 19.31 228.80 130.00 (23) Receipts of Income (Continued) Consolidated Edison Inc Common New York Stock Exchange 12/15/2003 Dividend on 200 Shares Cranberry PA 5.00 120125 12/01/2003 Interest on 10,000 Par Less accrued portion Cumberland PA 3.75 111514 11/17/2003 Interest on 10,000 Par Less accrued portion Delaware River PA 6.00 011510 01/15/2004 Interest on 10,000 Par Less accrued portion Dominion Res Inc Va New Common New York Stock Exchange 12/22/2003 Dividend on 200 Shares Erie PA 5.00 120120 12/01/2003 Interest on 10,000 Par Less accrued portion FHLMC 14-1079 8.00 020117 11/17/2003 Interest 12/15/2003 Interest 01/15/2004 Interest on 30,000 Par on 30,000 Par on 30,000 Par 112.00 250.00 (202.78) 187.50 (168.75) 300.00 (170.00) 129.00 250.00 (202.78) 42.76 42.57 39.17 112.00 47.22 18.75 130.00 129.00 47.22 124.50 (24) Receipts of Income (Continued) GNMA 02116 7.00 112025 11/20/2003 ~nterest on.25,000 Par Mess accruea portion 12/22/2003 Interest on 25,000 Par 01/20/2004 Interest on 25,000 Par GNMA 09110 8.50 011506 11/17/2003 Interest on 75,000 Par 12/15/2003 Interest on 75,000 Par 01/15/2004 Interest on 75,000 Par GNMA 09661 8.00 081506 11/17/2003 ~nterest on.51,3~3 Par Mess accruea portion 12/15/2003 Interest on 51,333 Par 01/15/2004 Interest on 51,333 Par GNMA 207023 8.50 041517 11/17/2003 Interest on.70,OOO Par Less accruea portion 12/15/2003 Interest on 70,000 Par 01/15/2004 Interest on 70,000 Par GNMA 221130 7.00 101517 11/17/2003 ~nterest on.30,OOO Par hess accruea portion 12/15/2003 Interest on 30,000 Par 01/15/2004 Interest on 30,000 Par GNMA 272072 8.50 111521 11/17/2003 ~nterest on.25,0QO Par Less accrue~ portion 12/15/2003 Interest on 25,000 Par 01/15/2004 Interest on 25,000 Par 17.84 (15.46) 16.84 15.79 3.60 3.39 3.00 2.83 (2.45) 2.74 1.62 26.05 (22.58) 25.96 25.86 39.56 (34.29) 39.42 39.28 3.11 (2.69) 3.09 3.07 35.01 9.99 4.74 55.29 83.97 6.58 (25) Receipts of Income (Continued) GNMA 317734 7.50 031522 11/17/2003 Interest on 25,000 Par 12/15/2003 Interest on 25,000 Par 01/15/2004 Interest on 25,000 Par GNMA 325146 7.50 051522 11/17/2003 Interest on 100,000 Par 12/15/2003 Interest on 100,000 Par 01/15/2004 Interest on 100,000 Par GNMA 325162 7.50 061522 11/17/2003 Interest on 75,000 Par 12/15/2003 Interest on 75,000 Par 01/15/2004 Interest on 75,000 Par GNMA 379225 7.00 021524 11/17/2003 Interest on 25,000 Par 12/15/2003 Interest on 25,000 Par 01/15/2004 Interest on 25,000 Par GNMA 391555 8.00 071524 11/17/2003 Interest on.25,000 Par Less accruea portion 12/15/2003 Interest on 25,000 Par 01/15/2004 Interest on 25,000 Par GNMA 5.500% Due 08116~32 DTD 11101/03 12/15/2003 Interest on 100,000 Par 01/16/2004 Interest on 100,000 Par 11.61 11.58 11.56 29.46 26 66 26.57 22.72 22.65 22.58 15.49 15.46 15.43 19.77 (17.13) 19.73 19.70 458.33 447.74 34.75 82.69 67.95 46.38 42.07 906.07 (26) Receipts of Income (Continued) GNMA II 1655 7.00 042024 11/20/2003 Interest on.45,000 Par Less accruea portion 12/22/2003 Interest on 45,000 Par 01/20/2004 Interest on 45,000 Par Lancaster PA 4.50 050128 11/03/2003 Interest on 15,000 Par Less accrued portion Loyalsock PA 4.30 110117 11/03/2003 Interest on 5,000 Par Less accrued portion PA ST 4.75 010122 01/02/2004 Interest on 25,000 Par Less accrued portion PA ST HI ED 5.00 061524 12/15/2003 Interest on 10,000 Par PA ST Turnpike 5.00 120121 12/01/2003 Interest on 10,000 Par Less accrued portion Pitts PA NPHA 5.125 120105 12/01/2003 Interest on 10,000 Par Less accrued portion 30.03 (26.03) 27.58 25.18 337.50 (330.00) 107.50 (101.11) 593.75 (382.64) 250.00 250.00 (202.78) 256.25 (207.85) 56.76 7.50 6.39 211.11 250.00 47.22 48.40 (27) Receipts of Income (Continued) UST Inflt 3.00 071512 01/15/2004 Interest on 50,000 Par Less accrued portion UST Note 5.50 051509 11/17/2003 Interest on 50,000 Par Less accrued portion Total Income Received 770.75 (423.91) 1,375.00 (1,233.02) 346.84 141.98 $ 3,563.24 (28) Estate of Martha C. Ratcliff Gains and Losses on Sales or Other Dispositions of Income Net Gain 12/01/2003 Collection Janney Montgomery Scott Individual Account of Martha C. Ratcliff Account No.: HB23 6857-9695 Net Proceeds $ Carried at 250.61 250.61 12/15/2003 Collection Janney Montgomery Scott Individual Account of Martha C. Ratcliff Account No.: HB23 6857-9695 Net Proceeds $ Carried at 1,329.28 1,329.28 Total Gains and Losses No Gain or Loss $ 0.00 $ 0.00 Net Loss $ 0.00 (29) Estate of Martha C. Ratcliff Disbursements of Income Date Paid Amount Paid Total Disbursements of Income 0.00 (30) Estate of Martha C. Ratcliff Distributions of Income to Beneficiaries Distribution Value Total Distributions of Income 0.00 (31) Estate of Martha C. Ratcliff Income Balance On Hand Face Value Cash and Cash Equivalents Janney Montgomery Scott L1C Estate Account No.: HB23 7175 4297 Inventory Value 3,563.24 Total Cash and Cash Equivalents Total Balance on Hand $ 3,563.24 $ 3,563.24 (32) ESTATE OF MARTHA C. RATCLIFF Schedule of Proposed Distribution Cash Balance in Janney Montgomery Scott LLC Portfolio Less Reserves: Rhoads & Sinon LLP Out of Pocket Expenses Rhoads & Sinon LLP Attorney's Fees Souder Tax Service for Preparation of income tax remm Executor Commission to C. Michael Ratcliff 763.76 12,000.00 150.00 12,000.00 Total $41,172.26 24,913.76 506829. TO: H. Chalfant Ratcliff Cash and Cash Equivalents Residue per ITEM V of Will, consisting of: Principal 12,695.26 Income 3,563.24 TOTAL 16,258.50 PNC Bank Certificate of Deposit 8,353.44 No. of Shares Stocks Inventory Value Total 300 Air Prods & Chems Inc $13,944.00 300 Allete, Inc. 8,734.50 Common New York Stock Exchange 528 Bp P L C 22,368.72 500 Conagra Foods, Inc. 11,955.00 200 Consolidated Edison, Inc. 8,165.00 200 Dominion Res. Inc., Va New 12,159.00 Total Stocks $77,326.22 Par Value Bonds, Debentures & T-Bills 7,000 CAT Ser S 0.00 081508 $5,949.06 1,000 United States Svgs Bds Serhh 1,000.00 12/1/87-12/1/97 10,000 United States Svgs Bds Serhh 10,000.00 12/1/87-12/1/97 500 United States Svgs Bds Serhh 500.00 12/1/87-12/1/97 40,000 UST Bond 6.00 021526 40,012.50 Interest at Date of Death 476.09 50,000 UST Inflt 3.00 071512 54,703.13 50,000 UST Note 5.50 051509 55,578.13 50,000 UST Strip 0.00 111526 13,690.50 10,000 Cranberry PA 5.00 120125 $10,119.80 10,000 Cumberland PA 3.75 111514 9,809.80 10,000 Delaware River PA 6.00 011510 11,373.70 10,000 Erie PA 5.00 120120 10,371.00 30,000 FMLMC 14-1079 8.00 020117 5,183.09 25,000 GNMA 02116 7.00 112025 2,754.33 AFFIDAVIT C. Michael Ratcliff, Executor under the Last Will and Testament ofMartha C. Ratcliff, deceased, hereby declares under oath that he has fully and faithfully discharged the duties of his office; that the foregoing Account is true and correct and fully discloses all significant transactions occumng during the accounting period; that all known claims against the Estate have been paid in full; that, to his knowledge, there are no claims now outstanding against the Estate; that all taxes presently due from the Estate hay~e~een paid. C. ~,Iichael Ratcliff, Executdr~' ~// Swom to and subscribed before me this ~'~h day of q"~£LC2~ , 2004. NOTARY PUBgIC' ' MY coMMisS!ON EXPIRES: (SEAL) COMMONWF__a~LTH OF PENNSYLVANI&,, Notarial Seal Kimberly A. Meals, Notary Public City of Harrisburg, Dauphin County My Commission Expires Mar. I 1, 2007 Member, Pennsylvania Association of Notaries /21/2B03 13:04 1717249~277 PAGE 02 Barbara Blaine Registered Representative Amerlcaa (;ener~! Securltlee Incorporated Member NASD and ~i~ 2727 ~len Parkwz~. S~ce 290 Houston, ~ 770~9 713.831.3806 AMERICAN FI NAN I,:IA L GROUP Bas'barn Bi.'+tline. l~egi,~tor,;d .~1~01 5. Jlanovet ~troet- C,~rli.~h:. PA 170:1 .t · 7'17.249.44~1'1 · Fax 71 BUREAU OF INDIVIDUAL TAXES TNHERTTANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COHHONNEALTH OF PENNSYLVANIA BEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ROBERT G FREY FREY & TZLEY ,- 5 S HANOVER ST .,, CARLZSLE PA 17013 BATE ESTATE OF BATE OF BEATH ?'- ?:~ZLE NUMBER COUNTY ACN 05-17-200q BISTLINE 10-05-2003 21 03-0898 CUMBERLAND 101 Amount Ree/ttod RE¥-I~I7 EX &FP {01-0S) PAUL L HAKE CHECK PAYABLE AND REH'rT PAYHENT TO: REGI'STER OF NI'LLS CUMBERLAND CO COURT HOUSE CARLI'SLE, PA 17013 cu'r ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORBS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR BZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF B/STLTNE PAUL L FILE NO. 21 03-0898 ACN 101 BATE 05-17-200q TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERN]:NG FUTURE INTEREST - SEE REVERSE APPRAZSEB VALUE OF RETURN BASEB ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) ~. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) ($) ~. Mortgages~Notes Receivable (Schedule D) (~) E. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6. Jo/ntly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED BEDUCTZONS AND EXEMPTIONS: 9. FuneraZ Expenses/Adm. Costs/M/sc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liab/1/t/os/Liens (Schedule Z) (10) 11. Total Deduct/ons 12. Not Value of Tax Return 157~000.00 ZO5z123.00 .00 .00 ~8t887.00 .00 NOTE: To insure proper cred/t to your account, subm/t the upper port/on of th/s fore w/th your tax payment. Z79~6~7.00 (e) 690,657.00 ~9,110.00 153.00 1:5. NOTE: 6R1,39q.00 Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (1:5) Not Value of Estate Subject to Tax (lq) If an assess.ent ~as lssued previously, lines 14, 15 and/or 16, 17, reflect figures that include the total of ALL returns assessed to date. .00 6~1,394.00 18 and 19 will TOTAL TAX CREBZT BALANCE OF TAX BUEI INTEREST ANB PEN. TOTAL BUE ASSESSMENT OF TAX: 1.6. Amount of L/no lq at Spousal rate 16. Amount of Line lq taxable at L/noel/Class A rate 17. Amount of L/ne 1~, at Sibling rate 18. Amount of Line lq taxable at Collateral/Class B rata 19. Princ/pal Tax Duo TAX CRED]:TS: PAYMENT RECETpT D/$COUNT (+) DATE NUMBER INTEREST/PEN pATD (- 03-29-200q CD003731 .00 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 32,538. O0 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT ZS REI)UZRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 32,538. O0 AMOUNT PAID (~s) .00 x O0 = .00 (16) 606,39q.00 x Oq5 = 27,288.00 (~7) .00 x 1::' = .00 (1G) 35,000.00 x 15 = 5,250.00 (19)= 32,538.00 RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section Ii40 of tho Inheritance and Estate Tax Act, Act Z$ of ZOO0. (TI P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. --Hake check or money order payable to: REGISTER OF HILLS, AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance end Estate Tax" (REV-151S). Applications are available at the Office of the Register of Hills, any of the ZS Revenue District Offices, or by calling the special Z4-hour answering service for fores ordering: 1-BOO-56Z-ZOSOj services for taxpayers with special hearing and / or speaking needs: 1-800-447-5020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Not[ce by: --written protest to the PA Department of Revenue, Board of Appeals, Oept. 281021, Harrisburg, PA 171ZB-lOZ1, OR --election to have the matter determined at audit of the account of tho personal representative, OR --appeal to the Orphans' Court. PAYNENT: ADMIN- ISTRATIVE CORRECT[OHS: DISCOUNT: PENALTY: INTEREST: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA I71ZB-0601 Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decadent" {REV-1501} for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decadant's death, a five percent (BZ) discount of the tax paid is allowed. The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (I) day from the date of death, to the date of payment. Taxes which became delinquent before January l, [gBz bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The appZicable interest rates for 1982 through ZOO4 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor. 1982 20Z .0005~8 ~)'~'8-1991 IIX .000501" ~ 9Z .0002q7 1983 16Z .000~38 199Z 9Z .0002~7 2002 6Z .000164 1984 llZ .000301 1993-199~ 7Z .000192 2003 5Z .000137 1985 13Z .000356 1995-1998 9Z .000247 2004 4Z .000110 1986 IOZ .000274 1999 7Z .000192 1987 iOZ .000274 2000 7Z .O0019Z --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELTNQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15} days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 9/15/2005 LEBO CATHY JO AM 1932 STERRETTS GAP AVE CARLISLE, PA 17013 RE: Estate of BISTLINE PAUL L File Number: 2003-00898 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 10/05/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~~ REGISTER OF WILLS cc: File Counsel Judge ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 9/15/2005 FREY ROBERT G 5 S HANOVER STREET CARLISLE, PA 17013 RE: Estate of BISTLINE PAUL L File Number: 2003-00898 Dear Sir/Madam: It has come to my attention that you have not filed th~ Status Report by Personal Representative (Rule 6.12) in the above ~aptioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Regi$ter of Wills a Status Report of completed or uncompleted administration. This filing is due by: 10/05/2005 Your prompt attention to this matter will be appreciat~d. Thank You. S.i41cerelr'_1.iY ~vt~~ , j ,-' GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge \.-t:1' STATUS REPORT UNDER RULE 6.12 Name of Decedent: Paul L. Bistline Date of Death: October 5. 2003 Will No. 2003-00898 Admin. No. 21-03-0898 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the foDowing with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes (X) No ( ) 2. If the answer is No, state when the personal representative reasonably believes that the administration wiD be complete: 3. If the answer to No.1 is Yes, state the foDowing: (a) Did the personal representative file a fmal account with the Court? Yes ( X) No ( ) (b) The separate Orphans' Court no. (if any) for the personal representative's account is: (c) Did the personal representative state an account informally to the parties in interest? Yes ( ) No ( ) (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: October 14, 2005 . ature en i..n Robert G. Frey LU Co ~ u__ -- ::;~- , '-..? C~~, ~ C::-- c~ c> ~d '---: 5 South Hanover Street Carlisle. Pa 17013 ['"-- '.-. (717) 243-5838 L.-:> , (-=-~ <;......J Capacity: ( ) Personal Representative ( X) Counsel for personal representative ~L