Loading...
HomeMy WebLinkAbout04-0074 PETITION FOR PROBATE and GRANT OF LETTERS Estate of George E. Bartges No. 21 - 04 - ~/~,/ also known as N/A, Deceased. To: Social Security No.: 057-30-5528 Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner who is 18 years of age or older and the Executor named in the last will of the above decedent, dated November 7, 1996, and codicil(s) dated NONE. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at Nine Annendale Drive, Carlisle, PA 17013 (South Middleton Township). Decedent, then ~ years of age, died January 18, 2004, at Claremont Nursing & ~ Rehabilitation Center, Carlisle, PA 17013. Except as follows, decedent did not marry, was not divorced and did not have a child bom or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: No Exceptions. Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ Unestimated (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 100.000.00 situated as follows: NONE. WHEREFORE, petitioner respectfully requests the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary thereon Signature(s) and Residence(s) Robert t~. l~lack 60 Conway Street Carlisle, PA 17013 (717) 243-9829 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ) ) ss COUNTY OF CUMBERLAND ) The petitioner above-named swears or affirms that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner and that as personal representative of the above decedent petitioner will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me ~~ - ~G~~rn~/~r;~~~er Signature(s) NO. 21- 04- Estate of George E. Bartges, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW January e~.~,~ , 2004, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the insmunent dated November 7, 1996, described therein be admitted to probate and filed of record as the last will of George E. Bartges and Letters Testamentary are hereby granted to Robert R. Black. FEES Probate, Letters, Etc... $ c:~, ~ Robert R. Black, Esquire (06267) S~m~Certificates ( )... $ /2;~.~ 36 South Hanover Street on ........ $ ~.~o Carlisle, PA 17013 $ /~9, ~ (717) 243-3727 TOTAL ~ $ ,~.-¢f. ~ Filed: January,,2'~, 2004 105.805 REV 9/86 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as l,ocal Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Local Registrar P 9 9 9 0 5 7 9 ~~,,%~ JAN 2 0 20114 Date COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH ............. Iz Male 13. 057- 30 ~-~o ~~m' ~""~ 0,~c~ ~ '~, ~~-~¢ °"0 ........ ~i~h Anae~8on 9 ~n~a[e ~ive, ~[~8[e PA ~70~3 --~ Janua~ 21, 2~ Yorkt~e Cr~tion York PA O131~-L Hoff~n-Roth ~eral H~ LAST WILL AND TESTAMENT OF GEORGE E. BARTGES I, GEORGE E. BARTGES, of South Middleton Township, Cumberland County, Pennsylvania, declare this to be my Last Will, hereby revoking all prior wills and codicils. FUNERAL EXPENSES FIRST: I desire that my body be cremated, as was my late wife, Gladys, and the ashes to be interred at Indiantown Gap Military Cemetery at Ft. Indiantown Gap, Pennsylvania. I direct that my wife's, Gladys, ashes are to be removed from the Mt. Zion Cemetery and buried along side mine at Indiantown Gap. I direct my Executor to make the appropriate arrangements for the foregoing with the officials at Indiantown Gap for their proper instructions and procedures. I direct the payment of my funeral expenses, including any gravemarkers, as soon as may be convenient after my death, including the forementioned expenses of Gladys' remains. PAYMENT OF DEATH TAXES SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of administration of my estate. DISTRIBUTION OF RESIDUE THIRD: I give the rest of my estate to my brother, A. R. BARTGES, providing he shall survive me by sixty (60) days. Should my brother, A.R. BARTGES, predecease me or die on or before the sixtieth day following my death, I bequeath the residue of my estate to The Salvation Army, its successors and assigns, a religious and charitable corporation, organized and existing under the laws of the State of New York, with its headquarters at 440 West Nyack, State of New York 10994-1739, to be used expressly for the benefit of its activities conducted at and through the Salvation Army Citadel located in the Borough of Carlisle, Cumberland County, Pennsylvania. POWERS OF EXECUTOR/RIX FOURTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, and upon such terms and conditions as my executor shall determine, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof, without liability of any purchaser for the application of any consideration; to borrow money and to secure its payment by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without restriction to so-called "legal investments;" to make distribution in cash or in kind; and to do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. APPOINTMENT OF EXECUTOR/RIX FIFTH: I appoint Robert R. Black, Esquire, Executor of my will. I direct that my Executor shall not be required to furnish security in any jurisdiction. INTERCHANGEABILITY OF LANGUAGE SIXTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. HEADINGS SEVENTH: The headings used on the various paragraphs of this will are included for convenience only and shall have no legal significance. I have signed this will this ~q~ J day of ~}~){/~ ~, 1996. Wimess Wimess ACKNOWLEDGMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) · SS. COUNTY OF CUMBERLAND ) and ~}~t.~3.~e~ . the wimesses to the last will, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, the Testator, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the Testator sign and execute the instrument as his last will, that he signed it willingly and executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as a witness and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. stator, ¢eorge E. Bartges Witness Witness Notary Public ' ~ ~,j (~" - Notarial Seal ' Susan K. Guyer, Notary Public J Carlisle Bore, Cumberland County My Commission Expires Sept. 4, 1999 Member, Pennsylvania Association of Notaries GEORGE E. BARTGES LAW OFFICES LANDIS BLACK ~3 SCHORPP 36 SOUTH HANOVER STREET CARLISLE~ PENNSYLVANIA 17013 COMMONWEALTH OF PENNSYLVANIA REV-t 162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT , NO. CD 003791 BLACK ROBERT R 36 S HANOVER STREET CARLISLE, PA 17013 ACN ASSESSMENT AMOUNT CONTROL NUMBER ........ fold 101 $10,000.00 ESTATE INFORMATION: SSN: 057-30-5528 EILE NUMBER: 2104-0074 DECEDENT NAME: BARTGES GEORGE E DATE OF PAYMENT: 04/08/2004 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 18/2004 TOTAL AMOUNT PAID: $10,000.00 R',EMARKS: CHECK# 114 INITIALS: JA SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS R E V- 1 5 0 0  PENNSYLVANIA ............ DEPARTMENT OF REVENUE DEPT. 280601 INHERITANCE TAX RETURN 21 -04 0074 HARRISBURG, PA 17128-0601 RESIDENT DECEDENT co . coD DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Z Bartges, George E. 057 - 30 - 5528 f't DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH (MMq3D-YEAR) THIS RETURN MUST BE FILED IN DUPUCATE WiTH THE UJ 01-18-2004 03-08-1912 REGISTER OF WILLS 0 II! (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ,,, ~ 1. Original Return r--] 2. Supplemental Return [~] 3. Remainder Return (da~e of dsath paor 1o 12-13-82) .~.-," [~] 4. Limited Estate ["-] 4a. FuturelnterestCompmmise(dateofdeam,er,2.,2-s2) ~ 5. FederalEstate Tax Retum Required E: 0 0 0 8. Total Number of Safe Deposit Boxes ,- ~ [] 6. Decedent Died Testate (Attac~ co¢/of ~,) [] 7. Decedent Maintained a Living Trust (^~ch o%w of O. "' NAME COMPLETE MAILING ADDRESS z Rober~ R. Black, Esquire o Landis & Black -, ack 36 South Hanover Street ~ TELEPHONE NUMBER Carlisle, PA 17013 o ~ (717) 243-3727 1. Real Estate (Schedule A) (1) 79,156.69 2. Stocks and Bonds (Schedule B) (2) C_ 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 4 · 053.25  (Schedule E) , ..~:~ 6. Jointly Owned Prope~ (Schedule F) (6) ~ ~ Separate B,ling Requested -J 40,014.29 ~ 7. Inter-V~vos Transfers & Miscellaneous Non-Probate Properly (7} ~ (Schedule G pr L) ~1~ 8. Total Gross Asset~ (total Lines 1-7) (8) !23,224.23 1,1.1 9. Funeral Expenses & Adminis~tlve Costs (Schedule H) (9) ~.5 ~ 725.95 ~ 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 1,109.62 ' 11. Total Deductions (total Unes 9 & 10) (11) 16 i' 835.57 12. Net Value of Estate (Line 8 minus Line 11) (12) 106 · 3 88.66 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 106,388.66 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES  15. Amount of Line 14 taxable at lhe spouset tax ~ rote, orlransfers under Sec. 9116 (a)(1.2) x .0 __ (15)  16. Amount of Une14 taxable at lineal mte x .0 __ (16) 17. Amount of Line 14 taxable at sibling rate 106,388.66 x .12 (17) ~2,766.64 ~O 18. Amount of Line 14 taxable at collateral rate x .15 (18)  19. Tax Due (19) 12,766.64 Decedent's Complete Address: STREET ADDRESS Nine Annendale Drive CITY Carlisle IsT^TE PA I zip 17013 ]'ax Payments and Credits: 1. Tax Due (Page l Line19) (1) 12,766.64 ).. Credits/Payments A. Spousal Poverty Credit B. Pdor Payments 10,000.00 C. Discount 526.30 Total Credits (A + B + C ) (2) 10,526.30 3. Inferest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) ~,. If Une 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 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 2 r 240.34 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 2 r 240.34 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 its income; ............................................ [] c. retain a reversionary interest; or .......................................................................................................................... [] d. receive the promise for life of either payments, benefits 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 secudty 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 SCNEBULE G AND FILE IT AS PART OF THE RETURN. Jnder penalties of pedjury, I declare that I have exanfined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is tree, correct and complete. ~aration of preparer other~J~? the I:~¥onal representative is bas,9~d on all information of which preparer has any kno~dedge. SIGNATURE OF PEYOtl ~ONSII~J~E FQR FIUf~ RETURI"Y') ,'rE 60 Conway Street, Carlisle, PA 17013 N3DRESS ~oJ~rt E." B.LaC~;., F.,squ_i_re 36 South Hanover Street, Carlisle, PA 17013 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% F2 P.S. §g118 (a) (1.1) (~)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9118 (a) (1.t) (ii) ]'he statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and tiling a tax return are still applicable even {he surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive paten or a stepparem of the child is 0% [72 RS. §9118(a)(t.2)]. The tax rote imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.§%, except as noted in 72 P.S. §9118(1.2) [72 P.S. §911§(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of lhe decedenl's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Seclion 9102, as a individual who has at least one parent in common with the decedent, whether by blood or adoption. ' '~'~ SCHEDULE A I ¥ REAL ESTATE Estate of ~ I File Number Bartges, George E. ] 21-04-0074 Property jointly-owned with Right of Survivorship must be disclosed ou Schedule F). Ali real estate should be reported at fair market value which is defined as the price at which property would be exchanged between · willing buyer and · willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Item ~ Value at Date Nmber ~. Description of Death 1. Re~klence and lot of ground situate at Nine Annendale Drive, South Middleton $79,156.69 Township, Cumberlancl County, CarlYle, Pcr~yl~a, as conveyed to George E. and Gladys C. Bartges by deed dated September 12, 1974, and recorded in Cumberland County Deed Book "~', ¥olumc 25, Page 244. See attached settlement sheet for sale of property. TOTAL (Also enter on line 1, Rec~pi~do_tion) $79,156.69 SCHEDULE E [ CASH, BANK DEPOSITS AND ] MISCELLANEOUS PERSONAL PROPERTY Estate of ~ Bartges, George E. File Number 21-04-0074 (All property jointly-owned with Right of Survivorship m~ be di~lo__~ed on Schedule F.) Item Value at Date Number Description of I}e_n_!h_ 1. Conesco, refund ofpreminm $7.75 2. County of Cumberland, veterans benefits $100.00 3. Internal Revenue Service, refund of 2003 income tax $930.00 4. Ibis Appraisal Services, appraisal of personal property. Copy attached $3,015.50 TOTAL (also enter on line_ 5,'Re~apit~Jlafion) $4,053.25 SCHEDULE G TRANSFERS ~ ' 21-4)4..0074 NUMBEIq DF~rION OF PROPERTY DATE OF DEATH % OF EXCLUSION tramf~w VALUE OF ASSET DECD'$ (if app{kab~) TAXARL~ .... i~ j ~c,~l' VALUE 1. M~mbors 1" Credit Union, choking ac. count $15,671.$4 100% $3,000.00 $12,671.~4 #20087-11. S~ attached 12. Members 1~ Credit Union, savings account $1,394.68 100% $1,394.68 #200387. S~o attach~cl l~tcr. 3. Members 1" Credit Union, investment savings $25,948.07 100% $25,948.07 ac.c~mnt #200387-05. S~ att~hocl lottor. TOTAL (Also emir on line 7, Re~apiml~lion) $40,014.29 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND - MISCELLANEOUS EXPENSES Estate of l~de Number Bartges, George E. 21-04-0074 ITEM NUMBER DESCRIPTION AMOUNT A. Funeral Expenses: 1. Hoffn~an-Roth Funeral Home, services $1,654.00 2. HoFm~n-Roth Funeral Home, services $200.00 3. B. Administrative Costs: 1. Personal Representative Commissions $6,161.00 Name of Personal Representative: Robert IL Black Social Security Number of Personal Representative: 60 Conway Street, Carlisle, PA 17013 Year Commissions paid: 2004 2. Attorney F~s: Landis & Balck $3,080.00 3. Family Exemption $3,500.00 Claimant: Adolphus R. Bartges Address: Nine Annendale Drive Carlisle, PA 17013 Relationship of Claimant to Decedent: Brother 4. Probate Fees, Landis & Black, advanced $417.95 5. Accountant's Fees 6. Tax Return Preparer's Fees, Boyer & Ritter $210.00 7. Ibis Appraisal Services, personal property appraisal $60.00 8. Barrett Appraisal Service, real estate appraisal $275.00 9. Harry Brunet, fee for mowing grass $168.00 TOTAL (Also enter on line 9, Recapitulation) $15,725.95 SCHEDULE I DEBTS OF DECEDENT MORTGAGE LIABILITIF~q AND LIENS Estate of File Number Bartges, George E. 21-~~. 0074 Item Number Description Amount I. Sprint, invoice $66.53 2. MetEd, invoice $178.03 3. Orrstown Bank, checks $30.75 4. Dish, invoice $88.23 5. Agway, invoice $115.00 6. Waste Management, invoice $37.43 7. Shelby Hockenberry, cleaning services $420.00 8. MetEd, invoice $68.96 9. Agway, final invoice $41.73 10. MetF_A, invoice $62.96 TOTAL (~so enter on line 10, Recapitulation) $1,109.62 ISCHEDULE J BENEFICIARIES Estate of File Number Bartges, George E. 21-04-0074 Relationship to Decedent Amount or Share Number Name and Address of Person(s) Receiving Property Do Not I__!~_ Tr,.~_,~(_ s) of ~ I. TAXABLE DISTRIBUTIONS (include outright spousal distn'bufions) 1. Adolphus R. Bartges Brother 100% Nine Annendale Ddve Carlisle, PA 17103 SSN: 233-26-9958 ENT~ DOU.N~ AtaOUNTS FOR Dk~'TRmU'nONS SHOWN A~OVE OR UNES 15 TH~:XJOH 17, AS APPROPRmTE, ON REV 1500 COVER SHEEr I1. NON-TAXABLE DISTRIBUTIONS A. Spousal distributions under Seotion 9113 for which an election to tax is no~ being made. 1. B. Charitable and Governmental Distributions 1. TOTAL OF PART II - Enter Total Non-Taxable Distributions on Line 13 of REV 1500 Cover Sheet LAST WILL AND TESTAMENT OF GEORGE E. BARTGES I, GEORGE E. BARTGES, of South Middleton Township, Cumberland County, Pennsylvania, declare this to be my Last Will, hereby revoking all prior wills and codicils. FUNERAL EXPENSES FIRST: I desire that my body be cremated, as was my late wife, Gladys, and the ashes to be interred at Indiantown Gap Military Cemetery at FL Indiantown Gap, Penn._~ylvania. I direct that my wife' s, Gladys, ashes are to be removed from the Mt. Zion Cemetery and buried along side mine at lndiantown Gap. I direct my Executor to make the appropriate arrangements for the foregoing with the officials at Indiantown Gap for their proper instructions and procedures. I direct the payment of my funeral expenses, including any gravemarkers, as soon as may be convenient after my death, including the forementioned expenses of Gladys' remains. PAYMENT OF DEATH TAXES SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of administration of my estate. DISTRIBUTION OF RESIDUE T/HRD: I give the rest of my estate to my brother, A. 1~ BARTGES, providing he shah survive me by sixty (60) days. Should my brother, A.R. BARTGES, predecease me or die on or before the sixtieth day following my death, I bequeath the residue of my estate to The Salvation Army, its successors and assi,~on~, a religions and charitable corporation, organized and existing under the laws of the State of New York, with its headquarters at 440 West Nyack, State of New York 10994-1739, to be used expressly for the benefit of its activities conducted at and through the Salvation Army Citadel located in the Borough of Carlisle, Cumberland County, Pennsylvania. initials POWERS OF EXECUTOR/RIX FOURTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, and upon such terms and conditions as my executor shall determine, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof, without liability of any purchaser for the application of any consideration; to borrow money and to secure its payment by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without restriction to so-called "legal investments;" to make distribution in cash or in kind; and to do aH other acts and things necessmy or appropriate in the management, administration and distribution of my estate. APPOINTMENT OF EXECUTOR/RIX FIFTH: I appoint Robert R. Black, Esquire, Executor of my will. I direct that my Executor shall not be required to furnish security in any jurisdiction. INTERCHANGEABILITY OF LANGUAGE SIXTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter, the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. HEADINGS SEVENTH: The headings used on the various paragraphs of this will are included for convenience only and shaH have no legal significance. I have signed this will this ~fl~dayof _}~0{]~1~'[~, 1996. Wimcss Witness ACKNOWLEDGMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) · SS. COUNTY OF CUMBERLAND ) Il U attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, the Testator, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntmy act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the Testator sign and execute the instrument as his last will, that he signed it willingly and executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as a witness and that to the best of our knowledge the Testator was at that time 15 or more years of age, of sound mind and under no constraint or undue influence. ~estator, qt~orge . Witness Witness Notary Public ~ Susan K. Guyer, Notmy Publio ] Carlisle Bom, Gumbedand County I My Commission F_xpires Sept. 4, 1999 ! Member, Pennsylvania Association o! Nolm'ies ............ ! 6~ FILE NUMBER: ...... . SETTLEMENT STATEMENT --' ~e~: ......... '"" 7POCF wnm Pald outslde the · · · ,Am?,m,. , t~ paid to end _ . closing*_ they ere shown he ' · by the =e.t~lement lAME AND AOORESS OF BUYER: E. NAME AND ADDRESS OF SELLER: -~ K. Humt Robert R. Black Execulor of m L Gries! Single Persons ;esl Oakwood Ortve Estato of George E. 13artges sle, PA 17013 36 South Hanover Slree! Carlisle, PA 17013 ~ROPERTY LOCATION.* H. SET'TLEMENTAGENT: rmndale Drive Undsay Dare Baird, Esq. L SETTLEMENT DATE: PLACE OF SETTLEMENT June 8, 2004 37 South Hanover Carlisle, PA 17013 3onlract Sales Price ~ Pr~ 3elllernent Cha to B r Une 1400 404. ~ Taxes !o ~_~_._n~Taxes to ~ Taxes to ~ ~ Taxes to ~* ' IAmounl of New Loan s ~cl 1o ~Taxes Io ~es to Taxes to chool to ' Taxes to Io 515. Amount Paid I ~ X FROM ndersigned hereby ~ CASH 91~ Buyer ~ pages 1&2 of l slalemenl & any ~ Seller An~e/~?Hursl - L. Griest - - HU{~i (386)RESPA. HB43~5.2 to ;ommin~ ~ , m.o~^~ i RJ~OS^T % to .oan Discount % to ~ ~ ~ Report to ~ ---'----------- .enderfs ~ to ------------'--' ~ s. ssumption Fee to ~ '--'------------ ~leresI From lo ~J $ /day ( days %) ~ Insurance Prem-J~ months to lazard Insurance Premium for 1.0_Lears to Hazard Insurance ~l~e_..lnsumnce _~.~__own Taxes -~- $ per ~ Taxes ~ $ per School ~ $ _per O $ per ~tment O $ per Settlement or Clnsin. jt Fee to Abstract or T'~le Search to Lindsa~ Title Examination !o Title Insurance Binder to Oocument~ralJon to ~Feea to Niven J. Baird AUomey's Fees to ~mbers: TitJe Insurance ~r~' to Dare Baird E .-~ Lenders Coverage_ . _ _e ~.~'..noo. rse_menls.~ 00, 300. 900 Linds~ Closing Prolection Leller _R_ec~ding Fe~: Deed $ ~a.50; Mo~gage $ . S~me Tax/Stamps: Revenue S~nj~ 'Mo~~ -~ to ~ction 1o ~maii Lind$~ ~axes to South Midd~Col~ctor rOT/U. SETTLEMENT CHARGE$....~nter on Unes 103, Section J and 502, SecUort K) Fting page 1 of lhis statement, the signatories acknowle~lge receipl of a com~ of page 2 of th~l~vo page slalement. ( I"iURST&GRIEST I HUR~T&ORIEST 13 ) IBIS APPRAISAL SERVICES P.O. BOX 24 1'i5 N. HANOVER. ST. ¢ CARLIS~, PA 17013 ~/]~ 243-3474 ' FAX O17) 258-9502 IBIS~THLINK.NET February 15, 2004 Robert Black, Esq. 36 South Hanover St. Carlisle, PA 17013 RE: Maj. George E, Bartges (deceased) Estate Appraisal Correction Dear Atty. Black: Mr. Adoiphus Bartges informed me ora correction to be made to the appraisal report. Mr. Bartges has requested that number 53,' the wheelchair or motorized chair, valued at $100.00 be removed from the appraisal. Medicare.is reclaiming this chair and Mr. Bartges believes the chair should not be included in the appraisal. The new total for the Science & Medicine category would be $1,740.00 and the new total of the entire appraisal $3,015.50. Please letme know ill need to print out new copies with this correction. I am not sure ifa hand- written notation, by You is sufficient for the estate appraisal of Maj. George E. Bartges. I have made an amended copy of the appraisal report in my file and it would be no trouble for me to print a new report and bum a new CD-ROM. I have sent Mr. Bartges a copy of the amended appraisal report. · Thank you! Yours faithfully, APPRAISAL REPORT OF ~-'~': PERSONAL PROPERTY OF Maj, George E. Bartges. deceas~ date of death (d.o.d.) January 18, 2004 9 Annendale Dr. Carlisle, PA 17013 for: _Adolphus Bartges, Executor 9 Annendale Dr. Carlisle, PA 17013 & Robert Bi_ack, Esq 36 South Hanover St. Carlisle, PA 17013 AS OF: d.o.d. January 18, 2004 Reported on February 11, 2004 BY: mis APPRAISAL SERVICES 14~SNH~o~& P.O. Bo~ P4 CarlM~, PA 1701.5 FEDERAL CREDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 200387 -00 Date Account Established 01/03/2001 Principal Balance at Date of Death $1,394.68 Accrued Interest to Date of Death $.65 Total Principal and Accrued Interest $1,395.33 Name of Joint Owner Adolphus R. Bartges Date Joint Ownership Established 11/09/2003 CHECKING ACCOUNT: Account Number/Suffix 200387 -11 Date Account Established 01/03/2001 Principal Balance at Date of Death $15,669.067 Accrued Interest to Date of Death $1.87 Total Principal and Accrued Interest $15,671.54 Name of Joint Owner Adolphus R. Bartges Date Joint Ownership Established 11/0912003 INVESTMENT SAVINGS ACCOUNT- Account Number/Suffix 200387 -05 Date Account Established 01/03/2001 Principal Balance at Date of Death $25,935.39 Accrued Interest to Date of Death $12.68 Total Principal and Accrued Interest $25,948.07 Name of Joint Owner Adolphus R. Bartges Date Joint Ownership Established 11/09/2003 M n~_RS~~RAL CREDIT UNION ise~/L Wolfe ~-- Insurance Supervisor March 4, 2003 Estate of: GEORGE E. BARTGES Date of Death: 0111812004 Social Security Numbe~. 057-30-5528 5000 Louise Drive · EO. Box 40 · Mechanicsburg, Pennsylvania 17055 · (717) 697-1161 · www. memberslst.org REV 1162 EX(11 96) COMMONWEALTH OF pENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF IND[VIDtJAL TAXES DEPT 280601 HARRISBURG, PA 17128 0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND E~TATB TAX OFFICIAL RECEIPT NO. CD 004285 BLACK ROBERT R 36 S HANOVER STREET CARLISLE, PA 17013 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 $2,660.32 ESTATE INFORMATION: SSN: 057-30 5528 :ILE NUMBER: 2104-0074 DECEDENT NAME: BARTGES GEORGE E )ATE OF PAYMENT: 08/18/2004 POSTMARK DATE: 08/1 8/2004 'COUNTY: CUMBERLAND ' DATE OF DEATH: 01 / 18/2004 TOTAL AMOUNT PAID: $2,660.32 REMARKS: R R BLACK CHECK//126 INITIALS: VZ SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS IN RE: : 1N THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF GEORGE E. BARTGES, : Deceased : ORPHANS' COURT DIVISION : NO. 21-04-074 FIRST AND FINAL ACCOUNT OF ROBERT R. BLACK EXECUTOR OF THE ESTATE OF GEORGE E. BARTGES LATE OF SOUTH MIDDLETON TOWNSHIP, CUMBERLAND COUNTY~ PENNSYLVANIA Date of Death: January 18, 2004 Letters Testamentary Granted: January 23, 2004 Letters Advertised: Sentinel - February 3, 10, 17, 2004 Cumberland Law Journal - February 13, 20, 27, 2004 Account Stated as Final SUMMARY & INDEX PRINCIPAL PAGE Receipts 2 $104,395.36 Conversions (Gain) or (Loss) Less Disbursements 3 $50,318.24 Balance Before Distributions $54,077.12 Advancements to Beneficiaries 4 $50,000.00 Principal Balance Remaining $4,077.12 INCOME Receipts Less Disbursements ~'5: 6V fit 1~0 PO. Income Balance Remainin8 COMBINED BALANCE REMAINING '~ ~i $4,077.12 RECEIPTS OF PRINCIPAL 2004 1/29 A.R. Bartges, loan to Estate 10,000.00 3/15 A.R. Bartges, loan to Estate 6,000.00 3/15 Conesco, insurance refund 7.75 3/23 Cumberland County, veteran's payment 100.00 4/28 Department of Treasury, income tax refund 930.00 6/3 Anne K. Hurst, down payment, sale of real estate 8,000.00 6/8 Anne K. Hurst, partial proceeds, sale of real estate 55,906.69 7/6 AFIE, home insurance refund 200.92 7/19 Anne K. Hurst, from escrow, balance of proceeds, sale of real estate 23,250.00 Total Receipts of Principal 104,395.36 DISBURSEMENTS OF PRINCIPAL 2004 1/29 Sprint, telephone services 66.53 2/16 Ibis Appraisal Services, appraisal of real estate 60.00 2/18 Ho~nan-Roth Funeral Home, professional services 1,654.00 2/10 Orrstown Bank, invoice for checks 30.75 2/27 Met-Ed, electric service 178.03 2/27 Dish, telephone services 88.23 2/27 Agway, fuel oil 115.00 2/27 Waste Management, trash 37.43 2/27 Shelby Hockenberry, cleaning service 420.00 2 3/23 Hoffman-Roth Funeral Home, professional services - Gladys Bartges 200.00 3/23 Met-Ed, electric service 68.96 3/23 Boyer & Ritter, preparation of tax return 210.00 4/8 S.W. Barrett, real estate appraisal 275.00 4/8 Register of Wills, on account PA inheritance tax 10,000.00 4/14 Agway, final invoice 41.73 4/19 Met-Ed, electric service 62.96 6/3 Harry Bruner, mowing grass 168.00 6/7 Lindsay D. Baird, Esquire, return down payment on real estate 8,000.00 6/8 A.R. Bartges, return of loan 16,000.00 6/16 M&T Mortgage Corp., mortgage satisfaction 50.00 7/19 Register of Deeds, record mortgage satisfaction 27.00 7/21 Robert R. Black, partial Executor's fee 3,000.00 7/21 Landis & Black, partial attorney's fee 2,000.00 7/21 Landis & Black, probate costs advances 432.95 8/16 Register of Wills, balance of PA inheritance tax 2,660.32 8/17 Waste Management, final invoice 30.35 RESERVED: Robert R. Black, balance Executor's fee 3,161.00 Landis & Black, balance attorney's fee 1,080.00 Closing and filing costs 200.00 Total Disbursements of Principal 50,318.24 3 ADVANCEMENTS TO BENEFICIARIES 2004 6/8 A.R.. Bartges, advance distribution of bequest 30,000.00 7/19 A. P,. Bartges, additional advance distribution 20,000.00 Total Advancements to Beneficiaries 50,000.00 4 IN RE: : IN THE COURT OF COMMON PLEAS OF : CLqVfl3ERLAND COUNTY, PENNSYLVANIA ESTATE OF GEORGE E. BARTGES, Deceased : ORPHANS' COURT DIVISION : NO. 21-04-074 SCHEDULE OF PROPOSED DISTRIBUTION Combined Balance for Distribution Remaining as per First and Final Account $4,077.12 TO: A.R. Bartges, as per Paragraph $4,077.12 THIRD of Last Will & Testament TOTAL BALANCE FOR DISTRIBUTION $4,077.12 ROBERT R. BLACK, Executor under the Last Will and Testament of George E. Bartges, deceased, hereby declares under penalties of perjury that he has fully and faithfully discharged the duties of his office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that the first complete advertisement of the grant of letters was more than four months from the date the account was filed; that, to his knowledge, there are no claims now outstanding against the Estate; and that all taxes presently due from the estate have been paid. He understands that false statements herein are made subject to the penalties of 18 Pa. C.S.A. 4904 relating to unsworn falsification to authorities. Robert R. Black, Executor LAST WILL AND TESTAMENT OF GEORGE E. BARTGES I, GEORGE E. BARTGES, of South Middleton Township, Cumberland County, Pennsylvania, declare this to be my Last Will, hereby revoking all prior wills and codicils. FUNERAL EXPENSES FIRST: I desire that my body be cremated, as was my late wife, Gladys, and the ashes to be interred at Indiantown Gap Military Cemetery at Ft. Indiantown Gap, Pennsylvania. I direct that my wife's, Gladys, ashes are to be removed from the Mt. Zion Cemetery and buried along side mine at Indiantown Gap. I direct my Executor to make the appropriate arrangements for the foregoing with the officials at Indiantown Gap for their proper ins~ctions and procedures. I direct the payment of my funeral expenses, including any gravemarkers, as soon as may be convenient after my death, including the forementioned expenses of Gladys' remaln.~. PAYMENT OF DEATH TAXES SECOND: I direct that aid taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residumy estate as a part of the expense of administration of my estate. DISTRIBUTION OF RESIDUE THIRD: I give the rest of my estate to my brother, A. R. BARTGES, providing he shall survive me by sixty (60) days. Should my brother, A.R. BARTGES, predecease me or die on or before the sixtieth day following my death, I bequeath the residue of my estate to The Salvation Army, its successors and assigns, a religious and charitable corporation, organized and existing under the laws of the State of New York, with its headquarters at 440 West Nyack, State of New York 10994-1739, to be used expressly for the benefit of its activities conducted at and through the Salvation Army Citadel located in the Borough of Carlisle, Cumberland County, Pennsylvania. initials POWERS OF EXECUTOR/RIX FOURTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such frae or times, in such manner, and for such price or prices, and upon such terms and conditions as my executor shall determine, and to execute and deliver good and sufficient conveyances, assi~nments and Uansfers thereot~ without liability of any purchaser for the application of any consideration; to borrow money and to secure its payment by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without restriction to so-called "legal investments;" to make distribution in cash or in kind; and to do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. APPOINTMENT OF EXECUTOR/RIX FIFTH: I appoint Robert R. Black, Esquire, Executor of my will. I direct that my Executor shall not be required to furnish security in any jurisdiction. INTERCHANGEABILITY OF LANGUAGE SIXTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. HEADINGS SEVENTH: The headings used on the various paragraphs of this will are included for convenience only and shall have no legal significance. I have signed this will this ~J~ day of _~ 0~ ~, ~-~J~, 1996. Wimess Wimess ACKNOWLEDGMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) attached or foregoing instrument, who have signed the instrument, having been duly qn~lified according to law do depose and say: (a) that I, the Testator, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my fxee and voluntaxy act for the purposes therein expressed; and Co) that we, the wimesses, were present and saw the Testator sign and execute the instrument as his last will, that he signed it willingly and executed it as his fxee and voluntary act for the proposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as a witness and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ~estator, ql~orge E. Bar'g-es a Wimess Witness N°tary~Public ' ~ ~) Notarial Seal ' Susan K. Guyer, Notary Public Carlisle Bom, Cumberland County My Commission Expires Sept. 4, 1999 Member, Pennsylvsnia Association ef flotades CUMBERLAi%D COUSFfY, PENNSYLVANIA NO. 21 - 04 - 074 ESTATE OF G~0RGE E.BARTGES, deceased, Late of South Middleto Township, Cumberland County, PA FIRST ASD FINAL ACCOUNT ASD SCHEDULE OF PROPOS~I) DISTRIBUTIO OF ROBERT R. BLACK, EXELT~OR ~W OFFICES LANDIS & BLACK 36 SOUTH HANOVER STREET CARLISLE, PENNSYLVANIA 17013 CONNONNEALTH OF PENNSYLVANZA BUREAU OF /NDZVZDUAL TAXES DEPARTHENT OF REVENUE INHERITANCE TAX D;VZSION DEPT. Z80~01 HARRISBURG, PA ZTZZS-060! NOT/CE OF ZNHER/TANCE TAX APPRAZSEHENT~ ALLONANCE OR DZSALLO#ANCE OF DEDUCT/ONS AND ASSESSNENT OF TAX REV-1547 EX AFP COZ-OS) Rec? ~ ,:~, i ' 7!:i ?: :~; of DATE 08-16- Z 004 ~?h'~ ~!' ~¥ili~ ESTATE OF BARTGES GEORGE E DATE OF DEATH 01-18-2004 FZLE NUHBER 21 04-0074 '04 Ag6 17 P1:14 COUNTY CUHBERLAND ROBERT R BLACK ESQ ACN 101 LANDIS & BLACK S~g.ii~_ . : : Amount Remitted $6 S HANOVER CARLISLE NAKE CHECK PAYABLE AND R£HZT PAYHENT TO: REGISTER OF NILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONO THIS LINE ~- RETAIN LONER ~ORTZON FOR YOUR RECORDS REV-~4? EX AF~ [01-0~) NOTICE OF ZNHERITANCE TAX A~PRAISEN£NT~ ALLONANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF BARTGE$ GEORGE E FILE NO. ~1 04-0074 ACN 101 DATE 08-1~-Z004 TAX RETURN UAS: ( ) ACCEPTED AS FZLED (X) CHAN~EB SEE ATTACHED NOTICE RESERVATION CONCERNIN~ FUTURE ZNTEREST - SEE REVERS£ A~RAISED VALUE OF RETURN BASED ON: ORIGINA£ RETURN I Real Estate (Schedule A) {1) 79~156.69 NOTE: To insure proper 2 Stocks and Bonds (Schedule B) i2) O0 credit to your account~ $ Closely Held Stock/Partnership Zntarast (Schedule C) ($) 00 subait the upper ~ Hortgagas/Notas Receivable (Schedule D) (~) O0 of this fore ~ith your $ Cash/Bank Daposits/Nisc. Personal Property (Schedula E) ($) 4~05~.~5 tax payaant. 6 Jointly O~nad Property (Schedule F) (6) O0 7 Transfers {Schedule O) {7) 40~014.29 8. Total Assets {8) APPROVED DEDUCTIONS AND EXEHPTIONS: 1Z,Z25.95 9. Funeral Expanses/Ada. Costs/Hisc. Expanses {Schedule H} 10. Dabts/Hortgage Liabilities/L~ans {Schedule Z} (10) 1.109.62 11. Total Deductions (11) 1~.]]5,~7 12. Nat Value of Tax Return (12) 109,888.66 15. Charitable/Governmental Bequests; Non-alerted 9115 Trusts {Schedule J) (15) .00 1fi. Nat Value of Estate Subject to Tax (1fi) 109,888.66 NOTE: Z~ an assessment Nas issued prev~eus~y, lines 1~, 15 and/er 16, 17, 18 and 19 NA~I re~ect ~$gures that include the total o~ ALL returns assessed to date. ASSESSHENT OF TAX: 1~. Amount of L~ne lfi at Spousal rate {15} .00 X O0 = .00 16. Amount of Line lfi taxable at LAnaal/Class A rata {16} .00 X 045 = .00 17. Aaount of Line 1~ at SAbling rata {17} 109,888.66 X 1Z = 15,186.64 ~8. Amount of Llna 1~ taxable at Collateral/Class B rata {18} .00 X 15 = .00 ~9. Principal Tax Due (19)= 1S,186.64 TAX CREDITS: PAYHENT : ~C~1~1 DISCOUNT ~+~ ANOUNT PAZD DATE NUNBER ZNTEREST/PEN PAZD (-) 04-08-2004 CD005791 526.$2 10,000.00 PAYHENT HUST BE HADE BY 10-18-Z004~. TOTAL TAX CREDZT I 10,526.$2 I BALANCE OF TAX DUE 2,660.:~Z 1NTEREST AND PEN. . O0 TOTAL DUE 2,660.52 TF pATD AFTER DATE TNDTCATED~ SEE REVERSE ( TF TOTAL DUE TS LESS THAN $1~ NO PAYNENT ]:S REQUI'RED. FOR CALCULATTON OF ADDTTTONAL TNTEREST. IF TOTAL DUE TS REFLECTED AS A 'CREDTT" {CR)~ YOU NAY BE DUE A REFUND. SEE REVERSE STDE OF THTS FORH FOR TNSTRUCTTONS.) RESERVATION: Estates of decedents dying on or before December 11, 1981 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of tho decadent after the expiration of any estate for life or for years, the Commoneaalth 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 11~0 of the Inheritance and Estate Tax Act, Act 23 of 2060. (72 P.S. Section 91~0). PAYHENT: 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 NILES, AGENT REFUND (CR): A refund of a tax credit, which was not requested an the Tax Return, may ba requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications ara available at the Office of the Register of Hills, any of the 23 Revenue District Offices, or by calling the special 2~-hour answering service for forms ordering: 1-800-362-Z050; services for taxpayers with specie! hearing and / or speaking needs: 1-800-~7-3020 (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 Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Dapart~ent of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 180601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. Sam page S of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-15Ol) far an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedant's death, a five percent (SI) discount of the tax paid is allowed. PENALTY: 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 end 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: Interest is charged beginning with first day of delinquency, or nine (9) months and one (l) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rata of six (6Z3 percent par annum calculated at a daily rate of .O0016q. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year mith that rate announced by the PA Department of Revenue. The applicable interest rates for 1981 through 200q arm: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 ZOX .0005q8 ~'~'B-1991 llZ .OOOBO1 ~ 9Z .OOOZ~7 1983 162 .000¢38 1992 91 .000247 2002 62 .00026~ zgBq llZ .000301 1993-199q 71 .000192 2003 51 .0D0137 1985 I$Z .000356 1995-1998 92 .0002q7 200q ~Z .000110 1986 IOZ .000Z7~ 1999 72 .000191 1987 102 .00027~ 2000 71 .000192 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculatad. :~EV-1470 EX (6-88)  INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 ~)ECEDENT'S NAME FILE NUMBER BARTGES,GEORGE E 2104-0074 F~EVIEVVED BY ACN Kathryn Harbilas 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES The claim for the family exemption has been disallowed. The claimant must be a spouse H B-3 or if no spouse, a parent or child living in the same household as the decedent as of the date of death. ROW Page 1 CONHONNEALTH OF PENNSYLVANZA ~.~._ BUREAU OF ZNDZVZDUAL TAXES DEPARTHENT OF REVENUE ZNHERZTANCE TAX DZVZSZON DEPT. 28060! ZNHERZTANCE TAX HARRZSBURG, PA 17118-D601 STATEMENT OF ACCOUNT REV-160? EX RFP (01-03) DATE 09-27-2004 ESTATE OF BARTGES GEORGE E DATE OF DEATH 01-18-2004 FZLE NUNBER 21 0~-0074 COUNTY CUMBERLAND ROBERT R BLACK ESQ ACN 101 LANDZS & BLACK Amount Remitted I $6 S HANOVER ST I CARLZSLE PA 17015 HAKE CHECK PAYADLE AND RENZT PAYNENT TO: REGZSTER OF NILLS CUMBERLAND CO COURT HOUSE CARLZSLE, PA 17015 NOTE: To insure proper credit to your account, submit the upper portion of this fore with your tax payment. CUT ALONG THZS LZNE ~ RETAZN LONER PORTZON FOR YOUR RECORDS ~,~ REV-1607 EX AFP (01-03) ~ ZNHERZTANCE TAX STATEHENT OF ACCOUNT ~ ESTATE OF BARTGES GEORGE E FZLE NO. 21 0c~-007~ ACN 101 DATE 09-Z7-ZOOrt THZS STATENENT ZS PROVZDED TO ADVZSE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NAHED ESTATE. SNONN BELON ZS A SUNNARY OF THE PRZNCZPAL TAX DUE, APPLZCATZON OF ALL PAYNENTS., THE CURRENT BALANCE, AND, 'rF APPLZCABLE, A PROJECTED ZNTEREST FZ{}URE. DATE OF LAST ASSESSNENT OR RECORD ADJUSTMENT: 08-16-200~ PRZNCZPAL TAX DUE: ........................................................................................................................................................................................................................... 15,186.6~ PAYMENTS CTAX CREDZTS): PAYMENT RECEZPT DZSCOUNT (+) DATE NUHBER ZNTEREST/PEN PAZD (-) AHOUNT PAZD 0~-08-200~ CD005791 526.$2 10,000.00 o8-18-zoo~ CDOO~Z85 .00 C~ TOTAL TAX CRED'rT 13,186.6q BALANCE OF TAX DUE .00 ZNTEREST AND PEN. . O0 ZF PAZD AFTER THZS DATE., SEE REVERSE TOTAL DUE . O0 SZDE FOR CALCULATZON OF ADDZTZONAL ZNTEREST. ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS RE~UZRED. ZF TOTAL DUE TS REFLECTED AS A 'CREDZT" (CR)., YOU NAY BE DUE A REFUND. SEE REVERSE S'rDE OF THTS FORN FOR ZNSTRUCTTONS. ) C*~,~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: George E. Bartges Date of Death: January 18, 2004 Will No. 21-04-0074 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes [] No [] 2. If the answer is NO, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes [] No [] b. The separate Orphans' Court No. (if any) for the personal representative's account is: N/A 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: December Z~, 2004 Robert R. Black, Esquire ,.o Landis & Black u~ ~ 36 South Hanover Street 5':7~ ..~ Carlisle, Pennsylvania 17013 t.~C)~ .... ..... ~ o ~,--,: (717) 243-3727 '.:2, ~...t ~ LI~ '~-~-:.:. ~,,.: ~ a ~ ~; Capacity: X Personal Representative ~ c= o ~ Counsel for Personal Representative