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HomeMy WebLinkAbout03-0926Register of Wills- Cumberland County, PETITION FOR GRANT OF Estate of also known as Lenore A. Wilson S. Alvin Hollinger , Deceased Pennsylvania LETTERS Social Security No. 148-18-8118 PetitioneHs). who il/are 18 yeara of a~e or ~def. apply(les) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut Decedent, dated July 19, 1 999 and codicil(s) dated [~3I~TE named in the Last Will of the State releven~ circumstances, e.g,, renunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration ~ Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional heets if necessary. Decedent was domiciled at death in Cumbe:rland residence at 1134 Laurel Ave., Borouqh of Camp Hill Decedent, then 80 years of age, died Sept_ember 25 County, Pennsylvania, with his/her last family or principal 500.00 ,20 0__~2, at Camp Hill, PA (Localion) 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 reel estate in Pennsylvania ............................................... $ Total ....... $ Real Estate situated as fol;~';:' ' ;~ '1 .~ ~3.~'*~i A~v'~'.',' '~.__.~ ~iii; F~( ~ 50' '1 ............. 60¢000.00 Wherefore, Petitioner(s) respectfully .request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Signature ~ ' Typed or printed name and residence ~ S, Alvin Hol ] i nqer 2619 Market Street Camp Hill, PA 17011-4633 ..-7/7- Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitione. (s) will well and truly administer the estate ac~ordi~:kg to law. Sworn to and affirmed and subscribed S. Alvin Hollinger before me this 6th day of November Donna M. Otto, 1st Deputy 20 DECREE OF REGISTER Estate of L~,~_~ A_ WZLSON also known as Deceased No. 21-2003-926 148-18-8118 Social Security No: Date of Death: September 25, 2002 AND NOW, November 6th , 2003 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters,"~ Testamentary [. of Administration __ are hereby granted to S,, AI~VIN HO~;LIATGER in the above estate and that the instrument(s), if any, dated ,July lq~-h: 1999 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........................... Short Certificate(s) .... 1. ..... Renunciation ...... 2 ........... Affidavit ( ) ................. Extra Pages (4) ............ Codicil .......................... JCP Fee ........................ Inventory & Tax Forms... Other ............................ 115.00 3.00 10.00 $ 12.00 $ 10.0O $ Attorney: Steve C. Nicholas, Esq. I.D. No: 06845 Address: 2215 Forest Hills Dr., Suite 37 Harrisburg, PA 17112-1099 TOTAL ................ $ 150.00 Mailed Letters to Attorney aW-7a on 11/6/03 Telephone: (717) 540-7746 DATE FILED: November 6th, 2003 18/38/288~: 18:25 7175411527 COATES PAGE 82/82 RENUNCIATION 21-2003-926 In Re ~tatc of, deceascd. To th, Resister of Wills of C'C~I~i~z:] County, Pcnnaylvania. The underaigu~ ~ Denr~.s Wilson and Anne Wilson of the a~ ave de~lent, hereby renounce(si the right to administer the estate and rcsi~tfully a~k(s) that Letters J Wl:/'4T~S ~ ~ hand;this day of Swon, to a~ subscribed ~ef~ me this 304& day of ~, 2003, Commission # 1380323 Notory Public- Collfornio Los Angeles County My Comm. E~ires Oct 15, ~ // (Signature) Rodney Deonis Wilson 7101 E. Roseuz-~ns Avenue, #198 Paramount, CA 90723 (Addr~s) (Signature) A~Te Wils{~u 7101 E. Rosecrans Avenue, #198 P~r~, CA 90723 (Address) (Signature) O (Address) Renunciations scn/est Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of Lenore A. Wilson No. 21-2003-926 The undersigned, Peggy C. Hollinger of 2619 Market Street, Camp Hill, Pennsylvania 17011, named as a substituted Executrix under the terms of the Last Will and Testament of Lenore A. Wilson dated July 19, 1999, hereby renounces her right to administer the estate and respectfully requests that Letters Testamentary/Administration be issued to S. Alvin Hollinger of 2619 Market Street, Camp Hill, Pennsylvania 17011. Witness my hand this 6th day of November 2003. ~/~ggy C. Hollinger ~ Sworn to an~t subscribed before me a Notary Public, this 6th day of November coMMoNWEALTH OF' P~ IENNIYL, VANIA ! NOTARIAL SEAL ' t STEVE C. NICHOLAS, Notary Public ! Lower Paxton Twp., Dauphin County [My Commission Expires September 25, 2007 , FV !}/86 This is to certify that tile information here given is correctly copied from an original certificate of' death duly filed with me as Local Registrar. The original certificate will be folwvarded to the State Vital Records Office for permanent filing. WAFINING: It is ille9al to duplicate this copy by photostat or pholo9raph. Fee for this certificate, $2.00 P 8629049 No. .qgP O 2002 Date Rev 2/87 NAME OF DECEDENT {F,f~l M~dOle. Lam} COMMONWEALTH OF PENNSYLVANIA o DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH OE(Las~BlnhOav) I UNDERIYEA~ I UNDERIDAY I OATEOFelRTH I 81mHP,-~ ..... / ........... / I ~~~,~ I ~UN~ OF ~H ' ~ C~ ~'~ D ........ "' I / ~CE~'SUSUAL~U~ I KIND~BUSlNES~iNDUSTRY~' ~ , ..... J----~_x~..t, ~ ~ / '~ ~' ¢ '' I~, ~?.~,~.,~ I I~.~'~o~[~PI ..~E.?.~<~ I ~,~,s~s ..... . I s~,~,~s~ '' "' ' Pa. 134 Laurel Ave. nES,~E ~ ~'~'" , Pa. 1701 I o.~.,~.~ ,m.~., Cumberland ~o..~,~, ,,. U/K INF~T'S ~ME ~y~Pr~ pNF~'Sl ~AILI~ A~SS (~r~. C~n. ~, Zip godney D. ~ilson [~. u] a. Rosecrans Ave. 198Paramount, Californiag0723 ~a~. ~pr~r 27, 2~2 ~,~ East Harrisburg Crematory~ Harrisburg, Pa. 17109 ~.,.,,m,~<~, ~ ~. FD 012774-L la~ichards°n F.H. 29 S. Enola Dr. Enola, Pa. 17025 I f/' [~] E A'O ADDRESS O¢~PERSON WH~--~O'-~ETED CA~.~t~=-~AI~"-- -- Ilemd7}Typeoi'Prlnl or. Roger B. Gustavson MD. L J: 890 Poplar Church Rd. a2. CamnHill. Pa. 17Oll OATE FILED(~oIllh Day ¥~all · / 21-2003-926 Wilson Leonora Will/scn/wills LAST WILL AND TESTAMENT O_EF LENORE A. WILSON I, LENORE A. WILSON, of 1134 Laurel Avenue, Camp Hill, Cumberland County, Pennsylvania 17011, declare this to be my Last Will and revoke any Will or Codicil previously made by me. ITEM I: I direct that all expenses of my last illness and funeral, including my grave marker and perpetual care, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: 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 the administration of my estate, without apportionment. ITEM III: I give, devise and bequeath all the rest, residue, and remainder of my Estate of every nature and wherever situate, to my son, RODNEY DENNIS WILSON, now of 7101 E. Rosecrans Avenue #198, Paramount, California 90723, providing that he survives me by thirty (30) days. Should my son, RODNEY DENNIS WILSON, predecease me or die on or before the thirtieth (30th) day following my death, I then give, devise and bequeath all the rest, residue, and remainder of my Estate of every nature and wherever situate, to my daughter- in-law, ANNE WILSON, now of 7101 E. Rosecrans Avenue #198, Paramount, California 90723, providing that she survives me by thirty (30) days. Should my daughter-in-law, ANNE WILSON, predecease me or die on or before the thirtieth (30th) day following my death, I then give, devise and bequeath all the rest, residue, and remainder of my Estate of every nature and wherever situate, in equal shares, share and share alike, to my friends, S. ALVIN HOLLINGER and 'PEGGY C. HOLLINGER, now of 2619 Market Street, Camp Hill, Pennsylvania 17011, providing that they survive me by thirty (30) days. ITEM IV: I hereby authorize and empower my Executor hereinafter named to sell all of the real property and any or all of the personal property not specifically bequeathed herein, which I may own or to which I am entitled at the time of my death, in the sole discretion of my Executor at private or public sale, without an Order of Court, at such time or times and upon such terms as the said Executor shall deem proper for the best interests of my estate or of my beneficiaries, thereby converting the same into cash. I further authorize and empower my said Executor to execute, acknowledge and deliver all proper writings and deeds of conveyance and transfer thereof. ITEM V: The principal and income of any bequests and trusts created hereunder shall be free from anticipation, assignment, pledge or obligation of any beneficiaries and shall not be subject to any execution or attachment or to voluntary or involuntary alienation. ITEM VI: I appoint my son, RODNEY DENNIS WILSON, Executor of this, my Last Will. Should RODNEY DENNIS WILSON fail to quality or cease to act as Executor, I then appoint my daughter- in-law, ANNE WILSON, Executrix, of this my Last Will. Should ANNE WILSON fail to quality or cease to act as Executrix, I then appoint S. ALVIN HOLLINGER and PEGGY C. HOLLINGER, Executors, of this my Last Will. ITEM VII: I direct that my Executor, or his successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 19th day of July, 1999. LENORE A. WILSON 2 The preceding instrument, consisting of this and two (2) other typewritten pages, identified by the signature of the Testatrix, was on the day and date thereof signed, published and declared by LENORE A. WILSON, the Testatrix therein named, as and for her Last Will, in the presence of us, who, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses hereto. of ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA : : SS. COUNTY OF DAUPHIN : I, LENORE A. WILSON, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by LENORE A. WILSON this 19th day of July, 1999. LENORE A. WILSON N~[ary Public NOTARIAL SEAL STEVE C. NICHOLAS, Notary Public City of Harrisburg, Dauphin Court 4 COMMONWEALTH OF PENNSYLVANIA : : SS. COUNTY OF DAUPHIN : WE, the undersigned witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix, sign and execute the instrument as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed before me by the undersigned witnesses, this 19th day of July, 1999. Witness Witness Notary Public NOTARIAL SEAL No,, ~,,ty o~' I'larnsburg, Dauphin C~n~ y Commismion Expels Se t LAST WILL AND TESTAMENT OF LEiqOt~ A WILSON LAW OFFICES NICHOLAS & FOREMAN, P.C. 4409 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17110-1709 (717) 236-9391 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-O601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 003334 NICHOLAS STEVE C 2215 FOREST HILLS DRIVE SUITE 37 HARRISBURG, PA 17112-1099 fold ESTATE INFORMATION: SSN: 148-18-8118 FILE NUMBER: 2103-0926 DECEDENT NAME: WILSON LENORE A DATE OF PAYMENT: 12/12/2003 POSTMARK DATE: 12/12/2003 COUNTY: CUMBERLAND DATE OF DEATH: 09/25/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,189.19 REMARKS: TOTAL AMOUNT STEVE C NICHOLAS ESQUIRE PAID: $2,189.19 SEAL CHECK# 1553 INITIALS: SK RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT, 280601 HARRISBURG, PA 17128-0601 I-- Z ILl W z O u.I O 0 REV-1500 INHERITANCE TAX RETURN RESIDENT. DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ' WTT~ON, Lenore A. DATE OF DEATH (MM-DS-YEAR) I DATE OF BIRTH (MM-DS-YEAR) 09-25-2002 I 05-25-1922 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) OFFICIAL USE ONLY FILE NUMBER 2 1-03 0 9 2 6 COUNTYCODE YEAR NUMBER SOCIAL SECURITY NUMBER 148 - 18 - 8118 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER [~1. Original Return [] 2. Supplemental Return [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12-82) r~6. Decedent Died Testate (Attach copy of Will) [] 7. Decedent Maintained a Living Trust (Attach copy of Trust) [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date ofdeath between 12-31-91 and 1-1-95) NAME Steve C. Nicholas: Esquire FIRM NAME (IfApplicable) NICHOLAS LAW ('3F~'"TC~"'.q.,, TELEPHONE NUMBER (717) 540-7746 ~--] 3. Remainder Return (date of death prior to 12.13-82) ~--~ 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes [--'-~ 11. Election to tax under Sec. 9113(A) (Attach $ch O) COMPLETE MAILING ADDRESS 2215 Forest Hills Drive, Suite 37 Harrisburg, PA 17112-1099 I. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property {5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) ]Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probata Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9, Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 60,000.00 0.00 - . . 0,00 0.00 631.53 426.13 0.00 5,966.30 7~ 676.97 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) (8) 61,057.66 OFFICIAL USE ONLY (11) 13,643.27 (12) 47,414.39 (13) 0.00 (14) 47,414.39 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(12) 47,414.39 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. x .12 x .15 (15) 45 (16) (17) (18) (19) 2,133.65 2,133.65 Decedent's Complete Address: STREET ADDRESS 1134 Laurel Avep;,e CITY ~ H~] 1 'STATE Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits ( A + B + C ) 3. Interest/Penalty if applicable D. Interest E. Penalty 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 I Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PA ZIP 17011 (1) 2,133.65 0.00 (2) 0.00 0.00 2,133.65 55.54 2,189.19 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; ............................................ [] [] o. 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 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 PART 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 true, correct and complete. Declaration of preparer other than the personal representative is based on ali information of which preparer has any knowledge. DATE SlGNAT, UR.E~OF PERSON RES~PONSIBL~FOR FILIN. G.RETUR~ , A~)'~-RESS / 261 9 Market Street, Camp Hill, PA 17011-4633 SIGNATUI~E.EEEPAREROTHER THAN REPRESENTATIVE ADDRESS 2215 Forest Hills Drive, Suite 37, Harrisburg, PA 17112-1099 DATE t2-11 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% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decadent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decadent, whether by blood or adoption. Wilson Leonora Will/son/wills LAST WILL AND TESTAMENT QF LENORE A. WILSON I, LENORE A. WILSON, of 1134 Laurel Avenue, Camp Hill, Cumberland County, Pennsylvania 17011, declare this to be my Last Will and revoke any Will or Codicil previously made by me. ~TEM I: I direct that all expenses of my last illness and funeral, including my grave marker and perpetual care, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: 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 the administration of my estate, without apportionment. ITEM III: I give, devise and bequeath all the rest, residue, and remainder of my Estate of every nature and wherever situate, to my son, RODNEY DENNIS WILSON, now of 7101 E. Rosecrans Avenue #198, Paramount, California 90723, providing that he survives me by thirty (30) days. Should my son, RODNEY DENNIS WILSON, predecease me or die on or before the thirtieth (30th) day following my death, I then give, devise and bequeath all the rest, residue, and remainder of my Estate of every nature and wherever situate, to my daughter- in-law, ANNE WILSON, now of 7101 E. Rosecrans Avenue #198, Paramount, California 90723, providing that she survives me by thirty (30) days. Should my daughter-in-law, ANNE WILSON, predecease me or die on or before the thirtieth (30th) day following my death, I then give, devise and bequeath all the rest, residue, and remainder of my Estate of every nature and wherever situate, in equal shares, share and share alike, to my friends, S. ALVIN HOLLINGER and PEGGY C. HOLLINGER, now of 2619 Market Street, Camp Hill, Pennsylvania 17011, providing that they survive me by thirty (30) days. ITEM IV: I hereby authorize and empower my Executor hereinafter named to sell all of the real property and any or all of the personal property not specifically bequeathed herein, which I may own or to which I am entitled at the time of my death, in the sole discretion of my Executor at private or public sale, without an Order of Court, at such time or times and upon such terms as the said Executor shall deem proper for the best interests of my estate or of my beneficiaries, thereby converting the same into cash. I further authorize and empower my said Executor to execute, acknowledge and deliver all proper writings and deeds of conveyance and transfer thereof. ~TEM V: The principal and income of any bequests and trusts created hereunder shall be free from anticipation, assignment, pledge or obligation of any beneficiaries and shall not be subject to any execution or attachment or to voluntary or involuntary alienation. ITEM VI: I appoint my son, RODNEY DENNIS WILSON, Executor of this, my Last Will. Should RODNEY DENNIS WILSON fail to quality or cease to act as Executor, I then appoint my daughter- in-law, ANNE WILSON, Executrix, of this my Last Will. Should ANNE WILSON fail to quality or cease to act as Executrix, I then appoint S. ALVIN HOLLINGER and PEGGY C HOLLINGER, Executors of this my Last Will. ' , ITEM VII: I direct that my Executor, or his successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 19th day of July, 1999. LENORE A. WILSON The preceding instrument, consisting of this and two (2) other typewritten pages, identified by the signature of the Testatrix, was on the day and date thereof signed, published and declared by LENORE A. WILSON, the Testatrix therein named, as and for her Last Will, in the presence of u~, who, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses hereto. of of ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA : : SS. COUNTY OF DAUPHIN : I, LENORE A. WILSON, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by LENORE A WILSON this 19th day of July, 1999. ' LENORE A. WILSON N'~'' y lic ...... :NOTARIAL SEAL STEVE C. NICHOLAS, Notary Publ c k~, Cor.,,~: ~ ', P °un;C~ Ci~ of Harrisburg Dau bin C ,-___~: ......... ,~._!,~ ~-~r~ '.×ptres Sept 25 1999 4 COMMONWEALTH OF PENNSYLVANIA : : SS. COUNTY OF DAUPHIN : WE, the undersigned witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix, sign and execute the instrument as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; 'and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed before me by the undersigned witnesses, this 19th day of July, 1999. Witness ~Il .1 Witness Notary Public .~STE-----NOT^R~^L SEAL VE C, NICHOLAS. Notary Public Wilson Lenore Schedule A/estates/SCN Estate of Lenore A. Wilson Item # Description SCHEDULE A REAL ESTATE File Number: 21-03 0926 Amount Real estate known and numbered as 1134 Laurel Avenue, Camp Hill, PA 17011 (See attached HUD- 1) $60,000.00 Total $60,000.00 A. Settlement Statement B. Type of Loan U.S. Depa~ment of Housin!q and Urban Development OMB No. 2502-0265 1. [] FHA 2. [] FmHA 3. [] Conv. Unins IFile Number ]Loan Number I Mortgage Insurance Case Number 4. [] VA 5. [] Cony. Ins. I 25842 C. NOTE;This form is furnished to give you a statement of actual settlement costs, Amounts paid to and by the settJernent agent are shown. Items marked "p.o.c" were paid outside of closing; they are shown here for informational purposes and are not included In the totals. D. NAME AND ADDRESS OF BORROWER: BLAKEA. MEYER ,PA E. NAME AND ADDRESS OF SELLER: ESTATE OFLENOREA. WILSON 1t34 LAUREL AVENUE, CAMP HILL, PA 170f1 F. NAME AND ADDRESS OF LENDER: G. PROPERTY 1134 LAUREL AVENUE LOCATION: CAMP HILL, PA 17011 H. SETTLEMENT AGENT: PLACE OF SETTLEMENT: TIN: CEDAR CLIFF ABSTRACT AGENCY, INC. 414 Bridge Street New Cumberland, PA 17070 23-2133165 RESCISSION DATE: SUMMARY OF SI=! t FR'S TRANSACTION 400. GROSS AMOUNT DUE.TO SELLER: 401. Contract 6ales Price- :403. I. SETTLEMENT DATE: 11/12/2003 J. SUMMARY OF BORROWER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 101. Contract Sales Price 10Z Personal Property 1o3. Settlements charges to borrower: (from line 1400) $1,283.17 104. 105. ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: 106. City/Lawn taxes to lO7. County Taxes 11/12/2003 to 01/01/2004 $47.94 108. Assessments11/12/2003 to 07/01/2004 $570.85 109. 110. SEWER PRO-Ii~12~03 TO 12/31/03 $12774 111. 112. 120. GROSS AMOUNT DUE FROM BORROWER: $61,914.70 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 201. Deposit or earnest money $50,000. O0 102. Principal amount of new loan(s) 203. Existing loan(s) taken subject to 204. 205. 206. 207. 208. 20g. ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: 210. City/town taxes to 211. County taxes to 212. Asee&~,,,~e,~[s to '213. 214. 215. 216. 217. 218. 219. 220. TOTAL PAID BY/FOR BORROWER: 300. CASH AT SETTLEMENT FROM/TO BORROWER: 301. Gross amount due from borrower (line 120) 302. Less amount paid by/for borrower (line 220) 303. CASH ( ~FROM ) ( ~-~ TO) BORROWER: ~60rO00.O0 404. 405. ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: 406. City/town Tm(es to 407. County Taxes 11/12/2003 to 01/01/2004 $47. ~4 4O8. Assessments11/12/2003 to 07/01/2004 $570.85 409. 410. SEWER PRO~.ATION 11/13/03 TO 12/31/ $12.74 411. 412. 420. GROSS AMOUNT DUE TO SFLLI=R: $60,631.53 600. REDUCTIONS IN AMOUNT DUE TO SELLER: 506. i loan(s) taken s,,~,,~c~_ to e loan loan 500. ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: taxes to 512. Assessments to 513. 514. 515. 516. 517. 518. 519. $50,000.00 520, TOTAL REDUCTIONS IN AMOUNT DUE TO SELLER: 600. CASH AT SETTLEMENT TO/FROM $61,914.7~ 601. Gross amount due to setter (line 420) 602. Less reductions in amt. due seller (line 520) 603. CASH ( ~ FROM ) ( ~ TO ) SELLER: $5,787.88 $5,787.88 $60,631.53 HUD-1 (3-86) - RESPA, HB 4305.2 $5,787.88 $54,843.65 PAGE 1 HUD-I (Rev. 3/86) OMB No. 2502-0265 L. Se1 I LEMENT CHARGES 700. TOTAL SALES/BROKER'S COMMISSION BASED ON PRICE $60 · 000.00 Q DIVISION OF COMMISSION (LINE 700) AS FOLLOWS: 701. ~2! 075. O0 ta C.Z~ 702. .~2r125.00 to ~ ~_~3.TY A~$OC. 703. ~'0.00 ta 7 %= $4,200.00 PAID FROM BORROWER'S FUNDS AT SETTLEMENT PAID FROM SELLER'S FUNDS AT SETTLEMENT 704. ~0.00 ta 705. corll~ll~i~ ~ta st setUement $4,2 00. 0 0 800. ITEMS PAYABLE IN CONNECTION WITH LOAN: 801. Loan odgineUoa fee% 8112. Loan dlsCounl 803. Appraisal fee to: 804. Credit mpod to: 805. Le~der's Inspection fee 806. Mo,-tgage insurance app~cafion fee ta 807..~sumpttan fee 808· 809. 810. 811. 900. ITEMS REQUIRED BY LENDER TO BE pAID IN ADVANCE: 9Ol. lathes[ from 11/12/2003 to 12/01/2003 1000, RESERVES DEPOSITED WITH LENDER: 1009. Aggregate Accounting Eecrow Adjuatment 1100. TITLE CHARGES: 1107. Altame~$ feel ta (inc~ude$ above ilem~ Numbem: ) 1109. Lmlde~s coverage 1110. Owlle~s coverage ( $60 ~ 000. O0 ) $618.75 } ~ S ~ 1200. GOVERNMENT RECORDING AND TR~NSFERCF~RGE : 1201. Recording tses:Deed $38.50 ; Mo~lgage ; Releases $38.50 t202. Ci~ylcounty tax/st.mp~: Deed $i, 200. 00: Mo~1040e $600. O0 $600. O0 1203. State taxJstamps: Deed ; Mortgage t204. LO~E~R AL.,.~ ~rP-~ASH 10-12-03 TO 12-31-03 $25.92 1205. 1300. ADDITIONAL SE'FTLEMENT CHARGES: 1303, BONNIE K. M~LLER-2003 SCHOOL TAXES-LOT #121 $759.03 1304. BONNIE K. MILLER-2003 SCHOOL TAXES-LOT #122 $194.45 ~3o~. TAX CERT FEE-Rm/~AX $8. O0 1307. LOWE~ ALLEN T~P-S~WER 10-1-03 TO 12-31-03 $26.40 1400. TOTAL SETTLEMENT CHARGES $1,283.17 $$, 787.88 I have carefully mvlewed the HUD-1 Seltlement Statament and to the best of my knowledge and belief, it la a tree and accurate statement of all receipts and disbursements made have received a copy of (he HUD-1 SetUement Statement. · ESTATE OF L[EN"O~E A. WlL~N BLAKE A. MEYER Seller or Borrower:. Date: ~ Agent: Date: ~ The HUD-1 Seffiement Statement which I have prepared is a true end acourata account of this transaction. I have caused or will cause the ful,/be disbursed in accordance ,ith thia ,ta tama nt. D~~~ON'"~L //' Date: Saffiemect Agent: Date: WARNING: It is · crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine 8nd imprison- ment. For details see'. Title 18 U.S. Code Section 1001 and Section 1010. Wilson Lenore Schedule E/Estates/SCN SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Estate of Lenore A. Wilson File Number: 21-03 0926 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. Item # Description Amount HUD-1 Prorations (See attached HUD- 1 Settlement Statement) 2003 Cumberland County/Lower Allen Twp Real Estate Taxes b. 2003-2004 School Real Estate Tax c. Lower Allen Township Sewer Authority $ 47.94 570.85 12.74 Total $631.53 Wilson Lenore Schedule F/estates/SCN SCHEDULE F JOINTLY-OWNED PROPERTY Estate ofLenore A. Wilson File Number: 21-03 0926 Joint Tenant(s): NAME ADDRESS RELATIONSHIP TO DECEDENT Ao Rodney D. Wilson 7101 E. Rosecrans Ave., #198 Paramount, CA 90723 Son Jointly-Owned Property: ITEM # LETTER DATE DESCRiPTION OF TOTALVALUE DECD'S DOLLAR VALUE FOR MADE PROPERTY OF ASSET % INT. OF DECD'S INT. JOINT JOINT TENANT Acct. g490016 $852.26 50% $426.13 TOTAL $426.13 MaTBank r',,lanulacturers and Yradors I-rtlst Co-npany, l l00 Wohr o Drive, PO. Box 767, Buffalo, NY 14240-0767 November 18, 2002 RE: Estate Search The Estate of: LENORE A WILSON Date of Death (D.O.D.) 9/25/2002 To Whom It May Concern: Identified below is the account information requested. 1. M&T Bank accounts in which the decedent's name appears: Account Account Number Account Title Type CHK 490016 LENORE A WILSON RODNEY D WILSON Opening Branch D.O.D. Accrued Interest Balances (Includes Accr. Int.) 4350 $852.26 $.00 2. Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount Owed Account Description No Safe Deposit Box titled in the Decedent's name existed at our office. I f you have any questions about the information provided, please contact our Records Department at/716) 635-4010 or 1-800-724- 2440 outside of the Buffalo, NY calling area. Thank you. Sincerely. M&T BANK CORPORA. TION BY: Authorized Signature Wilson Lenore Schedule H/Estates/SCN SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Estate ofLenore A. Wilson Debts of decedent must be reported on Schedule I. File Number: 21-03 0926 FUNERAL EXPENSES: 1. Musselmans Funeral Home 2. Olive Garden - Funeral Luncheon $1,700.00 $ 350.00 ADMINISTRATIVE COSTS: 5. 6. 7. 8. 9. 10. 11. 12. 13. Personal Representative's Commissions: Name of Personal Representative(s): Social Security Number(s) Address: Year(s) Commission Paid: Attorney Fees: NICHOLAS LAW OFFICES, PC Family Exemption: (If decedent's address is not the same as claimants, attach explanation) Claimant: Address: Relationship of Claimant to Decedent: $1,500.00 $ NONE Probate Fee - Register of Wills of Cumberland County $ 150.00 Advertising - Cumberland Law Journal $ 75.00 Advertising - The Sentinel $ Advertising - The Patriot-News $ 171.30 Filing Fee - Inheritance Tax Returns - Register of Wills $ 15.00 Rodney D. Wilson a. Airfare - California/Pennsylvania for Rodney A. Wilson $ 325.00 b. Car Rental $ 300.00 NOTE: Rodney A. Wilson is the designated Executor of the Lenore A. Wilson Estate. Mr. Wilson traveled to Pennsylvania from his California resiedence to arrange for burial, disposition of assets, etc. Subsequently, due to distance etc., Mr. Wilson renounced in favor of S. Alvin Hollinger. Real Estate Appraisal $ 100.00 Real Estate Insurance $ 280.00 Patricia A. Disney - Cleaning residence, etc. for sale $ 500.00 Alvin Hollinger - Cleaning rersidence, etc. for sale $ 500.00 TOTAL $5,966.30 Wilson Lenore Schedule I/estates/SCN SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Estate ofLenore A. Wilson File Number: 21-03 0926 Item # Description Amount 1. PA American Water Co. #24-0636457-6 $ 244.33 2. Lawn Care 325.00 3. UGI - Utilities 177.12 4. ABC Fuel Oil - Oil 543.28 5. PPL - Utilities 240.03 6. PA American Water Co. #24-0636547-6 203.68 7. Lower Allen Sewer Authority 72.00 8. AT&T - Telephone 22.36 9. HUD-1 Prorations (See attached HUD-l) a. CIR- Commission b. Remax Realty- Commission c. Realty Transfer Tax d. Bonnie K. Miller, Tax Collector - 2003-04 School Tax e. Bonnie K. Miller, Tax Collector - 2003-04 School Tax f. Bonnie K. Miller, Tax Collector - Tax Cert. g. Lower Allen Sewer Authority UGI - Utilities PP&L - Utilities PA American Water Co. #24-0636457-6 10. 11. 12. 2,075.00 2,125.00 600.00 759.03 194.45 8.00 26.40 13.11 35.O0 13.00 Total $7,676.79 Wilson Lenore Schedule J scn/est SCHEDULE J BENEFICIARIES Estate of Lenore A. Wilson File Number: 21-03 0926 Ae Taxable Distributions Name / Address of Beneficiary Rodney Dennis Wilson 7101 E. Rosecrans Ave., #198 Paramount, CA 90723 Relationship Son Amount or Share of Estate 100% Nontaxable Distributions Name / Address of Beneficiary Relationship Amount or Share of Estate In re: BEFORE THE REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA CERTWICATION OF NOTICE UNDER RULE 5.6 (a). Estate of Lenore A. Wilson, Deceased No. 21-03-926 PA No. 21-2003-926 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 March 30, 2004, as follows: Names & Addresses Rodney D. Wilson, 7101 E. Rosecrans Avenue #198, Paramount CA 90723 Notice has been given to all persons entitled thereto under Rule 5.6 except: No exceptions. Additional information may be obtained from the undersigned. Dated: March 30, 2004 Signature ~ ('~''~j ' (-~ Steve C. Nicholas, Esquire 2215 Forest Hills Drive Suite 37 Harrisburg, PA 17112-1099 . ~:~:. (717) 540-7746 · '~:. ~.,, Counsel for Personal Representative . ID No. 06845 BUREAU OF INDIVIDUAL TAXES TNHERZTANC£ TAX DIVISION DEPT. 280601 HARRTSBURG,, PA 17128-0601 CONNON#EALTH OF PENNSYLVAN'rA DEPARTHENT OF REVENUE INHERITANCE TAX STATEHENT OF ACCOUNT RE¥-1607 EX AFP '04 iiAY 24 STEVE C NICHOLAS ESQ NICHOLAS LAN OFFICES 2215 FOREST HILLS DR U: HBG PA 17112~i~'~'1~ DATE 04-26-2004 ESTATE OF t/ILSON DATE OF DEATH 09-25-2002 FILE NUNBER 21 05-0926 :I~UNTY CUHBERLAND ACN 101 LENORE A Amoun't Rem'¥t'ted HAKE CHECK PAYABLE AND REHIT PAYNENT TO: REGISTER OF t/ILLS CUH]iERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credi~ ~o your account, subm/~ ~he upper portion of ~chis form wi~h your ~ax payment:. CUT ALONG THIS LINE ~ RETAIN LOUER PORTION FOR YOUR RECORDS *-~ REV-1607 EX AFP (01-03) #~ INHERITANCE TAX STATEHENT OF ACCOUNT ~ ESTATE OF t/ILSON LENORE A FILE NO. 21 05-0926 ACN 101 DATE 04-26-2004 THIS STATENENT ZS PROVIDED TO ADVTSE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NAHED ESTATE. SHOHN BELO# ZSA SUHHARY OF THE PRINCIPAL TAX DUE., APPLICATION OF ALL PAYHENTS., THE CURRENT BALANCE,, AND., TF APPLICABLE,, A PROdECTED INTEREST FIGURE. DATE OF LAST ASSESSNENT OR RECORD ADJUSTHENT: 02-17-2004 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYHENTS (TAX CREDITS): 2,133.65 PAYHENT RECEIPT DISCOUNT (+) DATE NUHBER INTEREST/PEN PAID (-) AHOUNT PAID 49.69- 12-12-2003 04-12-2004 CD003334 REFUND .00 2,189.19 5.85- IF PA/D AFTER THIS DATE,, SEE REVERSE S/DE FOR CALCULATION OF ADD/TZONAL INTEREST. IF TOTAL DUE 1S LESS THAN $1, NO PAYNENT IS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" TOTAL TAX CREDIT 2,133.65 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. PAYHENT: Detach tho top portion of this Not[ce and submit with your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REG/STER OF HILLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: COHNON#EALTH OF PENNSYLVANIA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, aay ba requested by completing an "Application for Ra~und of Pennsylvania Inheritance and Estate Tax" (REV-iS15). Applications are available at the Office of the Register of Hills, any of the Z$ Revenue District Offices or fram the Department's Z4-hour answering service for forms ordering: 1-800-36Z-ZO50; services for taxpayers m[th special hearing and / or speaking needs: 1-DOO-447-30ZO (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601, phone [717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the dacedant's death, a five percent (SI) discount of the tax paid is allowed. PENALTY: The lSZ tax amnesty non-participation penalty Es computed on the total of the tax and interest assessed, and not paid before January lB, 1996, the first day after the and of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January l, 198Z bear interest at the rate of six (DZ) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 19DZ will bear interest at a rate which m[11 vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through 2004 ara: Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year zeBz ZOZ .00054B 198B-1991 llZ .000301 ZOO! 1985 16Z .000438 1992 9Z .000Z47 ZOOZ 1984 llZ .000301 1995-1996 72 .000192 2005 1985 X3Z .000356 1995-1998 9X .000247 2004 1986 lOZ .000Z74 1999 7Z .00019Z 1987 92 .000Z47 2000 BZ .O00Z19 Interest Daily Rate Factor 9Z .000Z47 6Z .000164 52 .000137 4Z .000110 --Interest is caIcuXated as foIloms: TNTEREST = BALANCE OF TAX UNPATD X NUllBER OF DAYS DELXNQUENT X DALLY INTEREST FACTOR --Any Not[ce issued after the tax becomes delinquent well 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 Not[ce, additional interest must be calculated. Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/03/2004 HOLLINGER S ALVIN 2619 MARKET STREET CAMP HILL, PA 17011-4633 RE: Estate of WILSON LENORE A File Number: 2003-00926 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 will become delinquent on: 9/25/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge 612 Status Report scn/est STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: Estate No: Lenore A. Wilson September 25, 2002 2003-00926 PA No. 21-030926 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: State whether administration of the estate is complete: Yes No X If the answer is No, state when the personal representative reasonably believes that the administration will be complete: December~ 2004 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: 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. Attached are copies of the following: Date: August 6, 2004 Witness: Steve C. Nicholas, Esquire Nicholas Law Offices PC 2215 Forest Hills Drive, Suite 37 Harrisburg, PA 17112-1099 (717) 540-7746 Supreme Court ID No. 06845 Capacity: Attorney for Estate BUREAU OF /NDZVZDUAL TAXES INHERTTANCE TAX DTVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLO#ANCE OR D/SALLOHANCE OF DEDUCTIONS AND ASSESSNENT OF TAX REV-i~i? EX AFP [01-05) STEVE C NICHOLAS ESQ '0~ FEB 27 P I:O1 NICHOLAS LAW OFFICES 2215 FOREST HILLS DR ~*, ....... ~ DATE OZ-2fi-ZOOq ESTATE OF WILSON DATE OF DEATH 09-25-2002 FILE NUNBER 21 0:5-0926 COUNTY CUHBERLAND ACN 101 Amount Remitted LENORE A HAKE CHECK PAYABLE AND REN'rT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS L/NE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-15~.7 EX AFP [01-03) NOT]:CE OF ZNHER/TANCE TAX APPRAXSEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF WILSON LENORE AFILE NO. 21 05-0926 ACN 101 DATE OZ-Zq-2OOq TAX RETURN #AS: (X} ACCEPTED AS FILED ( ) CHANGED RESERVATXON CONCERNING FUTURE ];NTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) $. Closely Held Stock/Partnership Interest (Schedule C) ($) 4. Nortgages/Notas Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Nisc. Personal Property (Schedule E) ($) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXENPTZONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) (9) 10. Debts/Nortgage Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 60;000.00 .00 .00 .00 651.55 q26.15 .00 (8) 5,966 .SO NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 15. 14. NOTE: 61,057.66 7;676.97 (11) 13.6q3.27 {12) ~7,~1~.$9 .00 12-12-2005 .00 2,133.65 .00 .00 2,153.65 AHOUNT PAID CDOO335q q9.69- 2,189.19 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 2,1:59.50 5.85CR .00 5.85CR { 'rF TOTAL DUE IS LESS THAN $1, NO PAYHENT 'rs RE{)UIRED. 'rF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. } ASSESSHENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: PAYNENT RECEIPT DISCOUNT DATE NUHBER INTEREST/PEN PAID (-) reflect figures that include the total of ALL returns assessed to date. (1S) .00 X O0 = (16) q7,qlq.$9 x Oq5: (17). . O0 X 12 : (18) .00 X 15 = (19)= Charitable/Governmental Bequests; Non-elected 911:5 Trusts (Schedule J) Net Value of Estate Subject to Tax (14) q7, qlq. 59 Zf an assesseent ~as Sssued previous[y, ZSnes lq, 15 and/or 16, 17, 18 and 19 ~~-~~<..o Wilson Lenore Receipt & Release Agr scn/est RECEIPT, RELEASE & INDEMNIFICATION AGREEMENT This Agreement is made by and among S Alvin Hollinger of 2619 Market Street;=' Camp Hill, Pennsylvania 17011, Executor of the Estate of Lenore A. Wilson, hereinafter referred to "Executor" of the one part -and- Rodney D. Wilson of 7101 E. Rosecrans Avenue, #198, Paramount, California 90723, as Residuary Beneficiary of the said Estate, hereafter referred to as "Beneficiary" of the other part. In accordance with their desire that the Executor of the Estate of Lenore A. Wilson make a final distribution at this time, without the expense and delay of a court accounting, the parties hereto, in consideration of the mutual covenants herein expressed, and intending to be legally bound hereby agree as follows: 1. Lenore A. Wilson died on September 25, 2002 and Letters Testamentary have been duly granted to S Alvin Hollinger by the Register of Wills of Cumberland County, Pennsylvania on November 6, 2003 as more particularly described at Cumberland County, Pennsylvania Estate Number 2003-00926. The Estate of Lenore A. Wilson is now in the process of administration and payment of all inheritance taxes owed to the Commonwealth of Pennsylvania and all known claims and debts presented to date have been paid in full. 2. The Estate was properly advertised as required by law on November 21 & 28, December 5, 2003 in the Cumberland Law Journal, and, on November 27, December 4 & 11, 2003 in The Sentinel. 3. Under provisions of her Last Will & Testament dated July 19, 1999, the Decedent bequeathed the residue of her estate to her son, Rodney Dennis Wilson, provided that he survived the Decedent by 30 days. The named Beneficiary has survived the Decedent by 30 days and is entitled to his share of the Estate. 4. The Executor charges himself with the receipt of the total sum of $54,849.50. This sum represents the net proceeds from the sale of real estate known as 1134 Laurel Avenue, Camp Hill, Pennsylvania in the amount of $54,843.65 and the additional sum of $5.85 representing a refund from the Pennsylvania Department of Revenue for overpayment of the Pennsylvania inheritance tax. 5. The Executor further charges himself with the payment of the following administration costs, claims and expenses, in the amount of $6,268.84, including: Nov 06, 2003 Nov 13, 2003 Nov 19,2003 Dec 04, 2003 Dec 04, 2003 Dec 23, 2003 Jan 09,2004 Apr 15, 2004 Ju112,2004 Register of Wills - Letters Testamentary $ 150.00 Cumberland Law Joumal- Advertising $ 75.00 Nicholas Law Offices, PC - Attorney Fees $ 225.00 Register of Wills - Filing Fee (Tax Returns) $ 15.00 Register of Wills, Agent - Inheritance Tax $ 2,189.19 The Sentinel- Advertising $ 91.85 PA American Water- Open Account $ 272.80 Nicholas Law Offices, PC - Attorney's Fees $ 1,750.00 S. Alvin Hollinger - Executor's Commission $ 1,500.00 6. The Executor further charges himself with the payment of the following distributions, per the direction of the Beneficiary who acknowledges payment of same, in the total amount of$l,OOO.OO, including: Dec 03, 2003 Patricia A. Disney - Distribution Dec 03, 2003 S. Alvin Hollinger - Distribution $ 500.00 $ 500.00 7. The Executor further charges himself with the payment on December 4, 2003 the following distribution to the Beneficiary who acknowledges receipt of same in the amount of $45,500.00. 8. The total sum of advances for payment of administration costs, claims and expenses, and distributions totals $52,768.84. 9. The Executor has reserved the balance of estate assets consisting solely of cash for distribution in the amount of $2,305.66. The Executor intends to distribute the balance at the time of the receipt of an executed and acknowledged copy of this Receipt, Release & Indemnification Agreement. 10. The parties acknowledge receipt of the informal accounting set forth hereinabove as given by the Executor and waive the requirement to file a formal accounting for audit by the Court. 11. Without intending to limit the rights or remedies of the Executor or his attorneys, the Beneficiary further agrees to indemnify the Executor and his attorneys and save them harmless against all liability, loss and expense (including, but not limited to, costs and counsel fees) which they may incur, whether due to their negligence or otherwise, as a result of making the above distribution without a Court Audit. The Beneficiary agrees to reimburse the Executor for any losses he may incur as a result of this distribution. Reimbursement shall equal the amount required to pay any valid claim presented and any costs involved in defending the claim if the Executor, at his sole discretion determines that the claim is not valid and should be defended. 12. The Beneficiary hereby forever fully releases, compromises, settles and discharges any and all claims, demands, actions or causes of action, legal or equitable, absolute or contingent, vested or hereafter to accrue, which he may have against the Estate of Lenore A. Wilson, or the Executor or his attorneys, by reason of any matter and any cause or thing growing out of or relating to any property or assets of the said estate, or growing out of or relating to any act of the Executor or his attorneys, in the administration of said estate, even if attributable to negligence, and agrees that in no event shall the said period for collection of any erroneous distribution or distributions be less than two years after the actual discovery thereof by the Executor or his attorneys. 13. The Beneficiary agrees to execute such additional releases as the Executor or his attorneys, may submit to him in order to confirm their discharge from any further liability to the parties in connection with the said estate. 14. The parties hereto acknowledge that they have been advised that this Receipt and Release shall be filed at some future time with the Court of Common Pleas of Cumberland County in order to finalize the Estate Proceedings. 15. This Agreement may be executed in multiple counterparts and, when so executed by all parties hereto, shall be binding upon all the parties, and their respective heirs, next-of-kin, personal representatives and assigns. IN WITNESS WHEREOF, the parties have hereunto set their hands and seal on this 2 i +'" day of ...J~ JA.. \ -"-0.. v7 ' 2005. Witness: cr/d~~~ S Alvin Hollinger, Executor -;I' ~~ R ey D. WIlson, BenefiCIary ACKNOWLEDGMENT Commonwealth of Pennsylvania County ofBMll9hifl Curherlod : ss. I, S Alvin Hollinger, the Executor whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument willingly and as my free and voluntary act for the purposes therein expressed. 1tt\ Sworn Je1 affirmed and acknowledged before me by S Alvin Hollinger on the day of r ~ 2005. ~ "' ~ NOTARIAL SEAL SUZANNE M. DEDERER, Notary Public Camp Hill Boro, Cumberland County My Com.'21is~on Expires Aug. 20, 2005 *********************************** ACKNOWLEDGMENT State of California Countyof~ (l~..L : ss. I, Rodney D. Wilson, the Beneficiary whose name is signed to the attached or foregoing instflL11lent, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by Rodney D. Wilson ...'" on the 27 day of '~{....~. 2005. 2~d2 hL Rodney D. Wilson MARY SOLACHE Commission # 1380323 z ~ Notary Public - California ~ Los Angeles County - My Comm. Expires Oct 15. 2006 ~4~A~ ary Public