HomeMy WebLinkAbout03-0814PETITION FOR PROBATE and GRANT OF LETTERS
Estate of Ann D. Edgington No.
also known as To:
Deceased.
Social Security No. 1 52- 22- 503'3
Register of Wills for the
County of Cumberland
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut or
in the last wilt of the above decedent, dated F.ebruary 8..
and codicil(s) dated N/A
in the
named
, t~X 1004
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in Cumberlan'~t County, Pennsylvania, with
~ last family or principal residence at 102 Strayer Driva.. Carlisla,
South M~d~]eton Township, .~
(list street, number a_nd muncipality)
Decendent, then 71 years of age, died September 28 ,10~ :2003,
at 102 Strayer Drive: Chrlislo_; PA 17013
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: 1 02 Strayer Drive
Carlisle, PA 17013
250r000.00
lOO;O00:00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary
theron. (testamentary; administration c.t.a.; administration d.b.n.c.:.a.)
~J~shua '~_' ~.~i na~n
- 102 Strayer D~¢~---
Carlisle, PA 17013
tative(s) of the above decedent petitioner(s) will well anfl~ruly admin~teffthe
Sworn to or af,f'.~d and subscribed. /,~:::/~--~
before me this I-"' day of I ~,z -._ ~/ . ~
Oct-~l~ta t~ ~ ')~t~"~ I
.
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA 3.
COUNTY OF CUMBRRI'.AND
The petitioner(s) above-named swear(s) or 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 represen-
estate according to law.
No.
Estate of ann D. ~.ag~-,Se_on , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~ ~ ~IR_2D_0.ain consideration of the petition °n
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated February R; ! 994
described therein be admitted to probate and filed of record as the last will of.
Ann D. Edgington " ~;
and Letters Te
Joshua ]~,
are hereby granted to
Edoln~enn
FEES
Probate, Letters, Etc .......... $~--'-'-'-'-'-'-'-'~
Short Certificates( ) .......... $ Iff'c00
~m~'m~n~. ,~_o .... $ L, .OO
S /o .oo
TOTAL ~ S.~-~' OO
Filed .. j..O. 7.~.-7.9.,3. ...................
~ ~o--~ -o3
A~ORNEY(Sup. Ct.I.D. No.)18067
113 Front Street, P.O. Box 358
Boiling Springs, PA 17007
ADDRESS
717-258-6844
PHONE
,3
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
Anthony L. DeLuca, Esquire
(each) a subscribing witness to the will presented herewith, (Fatffi9 being duly qualified according to
law, depose(s) and say(s) that he was present and saw
Ann D. Edqinqton ,
the testat rix , sign the same and that he signed as a witness at the
request of testat rix in h er presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)).
Sworn to or affir.~ae._d and subscribed before
me this ,[Trl day of
October: 1~ 2003
22 q ~ister
~nthony L~/~9[a~g%, ' Esquire
113 FrontVSt."/'~u~'O. Box 358
gni I lng .qprlng_q_ PA 17~7
(Address)
(Name)
(Address)
REGISTER3 OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
Joshua ~. Edgington
(~Mc~) a subscriber hereto, ~[ being duly qualified according to law, depose(s) and say(s) that
he is familiar with the signature of Ann D. Edgin[lton ,
testa~ of ~X)XXa~N~.O[~X"~J/f~MsX]D~ the will presented herewith and
that he believes the signature on the will is in the handwriting of
Ann D. Edgington
to the best of hi s knowledge and belief. /~/ /7 , /
Sw°rn t° °r aff~m~d~and subscribed bef°re ~h
J/~S ua ~. ~~to~
me this day of ~02 Strayer 7marne/Dr.
October ~ ~3 Carlisle, PA 17013
ma~~l~' ~~ ~ ~.~ (Address)
(Name)
(Address)
his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local 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.
Fee for this certificate, $2.00
P 960996'I
No.
Local Registrar
Date
NENT
COMMONWEALTH OF PENNSYLVANIA o DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
· ' I- I. -- -- 5033 I,. 9/28/2003
. 71 v~. : . 3/8/1932 ~ D~~ck .....
~. I~Pu~ Mi~e~n 'x~u 102 Strayer Dri~
"~ I"~e ;n /,,. I,a. ~ 4 ~ ,, D~rc~
102 Strayer Drive ,c,u~ I'.*Sl,.. ~ ,,,~ m.~.. South Mid,eton
~rlisle, PA 17013 ~
~'s~u~,~ea~ ,,. Ruth - St~gle
m Joshua K. ~g~n
- ~.502 3/2 ~ple A~., ~is, PA 15801
~ ~~ I~. ~D 012633 B ~ Brothers ~eral H~, ~rlisle, P~ 17013
~ ~AC~E~E ~
[ I
I I~ ~ P,~,~,,~ ~l I I~ ~ ~ I
LAST WILL AND TESTAMENT
OF
ANN D. EDGINGTON
I, ANN D. EDGINGTON, a resident of Boiling Springs, Cumberland
County, Pennsylvania being of sound mind, memory and understanding,
do hereby make, publish and declare this to be my Last Will and
Testament, hereby revoking all Wills and Codicils heretofore made
by me.
ITEM 1: I direct that all my just debts, the expenses of my
last illness and funeral expenses be paid as soon after my decease
as the same can conveniently be done.
ITEM 2: I direct that there shall be paid out of my residuary
estate all estate, inheritance and like taxes together with any
interest or penalty thereon imposed by the government of the United
States, or any state or territory thereof, or by any foreign
government or political subdivision thereof, in respect to all
property required to be included in my gross estate for estate,
inheritance or like tax purposes by any of such governments,
whether the property passes under this Will or otherwise,
excluding, however, any property over which I have a taxable power
of appointment, provided, however, that no residuary beneficiary
shall by reason of this provision be denied the benefit of any
deduction, credit, favorable rate of tax or other benefit which by
law enures to such beneficiary.
ANN D. EDGING~N
LAST WILL AND TESTAMENT
OF
ANN D. EDGINGTON
ITEM 3: I give, devise and bequeath all of the rest, residue
and remainder of my estate, real, personal and mixed, of whatsoever
kind and nature, and wheresoever situate at the time of my death,
in equal shares, unto my children, AUSTIN E. EDGINGTON, III, ERIC
L. EDGINGTON and JOSHUA K. EDGINGTON, provided, however, that they
survive me and are living sixty (60) days after the date of my
death.
ITEM 4: If and in the event that a child of mine does not
survive me and is not living sixty (60) days after the date of my
death but is survived by issue, then and in such event, I give,
devise and bequeath the interest in my estate, which such deceased
child would have received, if living, to the issue of said deceased
child, per stirpes.
ITEM 5: I hereby nominate, constitute and appoint my son,
JOSHUA K. EDGINGTON, Executor of this my Last Will and Testament,
with full power to do any and all things necessary for the complete
administration of my estate, and direct that no bond or other
surety is required of him in this or any other jurisdiction for his
performance of this office.
2
LAST WILL AND TESTAMENT
OF
ANN D. EDGINGTON
If and in the event that my son, JOSHUA K. EDGINGTON, does not
survive me and is not living sixty (60) days after the date of my
death, or does not complete his duties as Executor, then and in
such event, I hereby nominate, constitute and appoint my son,
AUSTIN E. EDGINGTON, III, Executor of this my Last Will and
Testament, with full power to do any and all things necessary for
the complete administration of my estate, and direct that no bond
or other surety is required of him in this or any other
jurisdiction for his performance of this office.
ITEM 6: If any provision of this Will or of any Codicil
hereto is held to be inoperative, invalid or illegal, it is my
intention that all the remaining provisions thereof shall continue
to be fully operative and effective, so far as is possible and
reasonable.
IN WITNESS WHEREOF, I, ANN D. EDGINGTON, the Testatrix, have
to this my Last Will and Testament, typewritten on four (4)
consecutively numbered pages, subscribed my name and affixed my
seal this ~'~ day of February, 1994.
(SEAL)
LAST WILL AND TESTAMENT
OF
ANN D. EDGINGTON
Signed, sealed, published and declared by the above named ANN D.
EDGINGTON, as and for her Last Will and Testament, in the presence
of us, who have hereunto subscribed our names at her request, as
witnesses hereto, in the presence of the said Testatrix, and of
each other.
LAST
WILL AND TESTAMENT
AND
ANN D. EDGINGTON
ANTHONY L. DELUCA
ATTORNEY AT LAW
113 FRONT STREET
P.O. BOX 358
BOILING SPRINGS, PA 17007
JRD/June 30, 1992/17858
In Re: Estate of ANN D EDGINGTON
Late of SOUTH MIDDLETON TOWNSHIP
Estate No.: 21-03-814
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 21-2003-814
NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT
ORPHANS' COURT RULE
Personal Representative: JOSHUA K EDGINGTON
Counsel for Personal Representative: ANTHONY L DELUCA, ESQ.
Date of Grant of Original Letters: 10-08-2003
Date of Delinquency Notice: 01-18-2004
The undersigned, Glenda Famer-Strasbaugh, Register of Wills, in accordance with Rule
5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of
Common Pleas of Cumberland County, that neither the above named personal representative nor
the above named counsel for the personal representative have filed with the Register of Wills or
Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court
Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court
Orphans' Court Rules, was given by the Register of Wills on JANUARY 18, 2004, and that the
ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule
5.6(e) the Court is hereby notified of such delinquency and the undersigned requests that a Court
conduct a hearing to determine whether sanctions should be imposed upon the delinquent
personal representative or counsel for the delinquent personal representative.
Date: 03-15-2004
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
A hearing is scheduled for ~-t~tJ.... ~ ~ ~, ~ at ~,~; _~r~ _/~ In Courtroom No. 3. If the
Certification of Notice is filbd prior to the hearing date, the hearing will automatically be
cancelled.
Geor~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 003351
DELUCA ANTHONY L ESQUIRE
113 FRONT STREET
P O BOX 358
BOILING SPRINGS, PA 17007
........ fold
ESTATE INFORMATION: SSN: 152-22-5033
FILE NUMBER: 2103-0814
DECEDENT NAME: EDGINGTON ANN D
DATE OF PAYMENT: 12/19/2003
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 09/28/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $14,699.98
TOTAL AMOUNT PAID:
$14,699.98
REMARKS' JOSHUAKEDGINGTON-C/O
ANTHONY L DELUCA ESQUIRE
SEAL
CHECK# 114
INITIALS: SK
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
RE~1500 DX (6-00) '
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
~HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
OFFICIAL USE ONLY
RESIDENT DECEDENT
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
Edgington, Ann D. 152 - 22 - 5033
I..-
Z
W
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W
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LU
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DATE OF DEATH (MM-DD-YEAR)
September 28, 2003
DATE OF BIRTH (MM-DD-YEAR)
March 8, 1932
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
~--]1. Original Return
r---~ 4. Limited Estate
~--~6. Decedent Died Testate (Attach copy of Will)
[~9. Litigation Proceeds Received
[~2. Supplemental Return
[~4a. Future Interest Compromise (date of death after 12-12-82)
[~7. Decedent Maintained a Living Trust (Attach copy of Trust)
r'~ 10. Spousal Poverty Credit (date of death be~een 12-31-91 and 1-1-95)
[~]3. Remainder Return (date of death prior to 12-13-82)
["--~ 5. Federal Estate Tax Return Required
0 8. Total Number of Safe Deposit Boxes
[~11. Election to tax under Sec. 9113(A) (Attach Sch O)
NAME
Anthony L. DeLuca
FIRMNAME(If~pHcab~e)
Anthony L. DeLuca,
TELEPHONE NUMBER
717-258-6844
ESqurie
COMPLETE MAILING ADDRESS
113 Front Street
P.O. Box 358
Boiling Springs,
PA 17007
14.
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Modgages & 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-Probate 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)
13.
Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
Net Value Subject to Tax (Line 12 minus Line 13)
(13)
(14)
$145,000.00
1 6 3:575.85
--0--
--0--
10,757.00
4,786.48
149,980.01
38,481 .53
91 , 757.90
OFFICIAL USE ONLY
(8)
(11)
(12)
$474,098.49
130r239.43
343,859.06
--0--
343,859.06
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
-0- x .0__ (15)
343,859.06
x ,0_ (16)
--O-
X .12 (17)
--O-
X .15 (18)
(19)
19. Tax Due
20. []
-0-
15,473.66
--0--
--0--
$15:473.66
FILE NUMBER
,¢.l - o 3_
COUNTY CODE YEAR NUMBER
Decedent's Complete Address:
STREET ADDRESS
CITY IsTATE IZIP
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Interest/Penalty if applicable
D. Interest
E. Penalty
-0-
-0-
773.68
Total Credits ( A + B + C ) (2)
-O-
Total Interest/Penalty ( D + E )
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(1) $1 5,473.66
A. Enter the interest on the tax due.
(5A)
773.68
(3) - 0-
(4) - - -
(5) 14,699.98
--0--
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 1 4,6 9 9.9 8
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? ...................................................................... [] []
If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. [] []
Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ..............[] []
Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ []
TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT
AS PART OF THE RETURN.
IF THE ANSWER
Under penalties of perjury, I
Declaration of
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.
)ersonal representative is based on all information of which preparer has any knowledge.
SIGNATU { FILING RETURN DATE
ADI
SIGNATU
DATE
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 exemDt 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 decedent's lineal beneficiaries is 4.5%, except as noted in 72 RS. {}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 decedent, whether by blood or adoption.
REV-150% EX + J12-85) ~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER ANN D. EDGINGTON
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value
which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled
to buy or sell, both having reasonable knowledge of the relevant facts.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
]' $145,000.00
Residence situated at 102 Strayer Drive, Carlisle,
PA 17013. See attached appraisal
TOTAL (Also enter on line 1, Recapitulation)
S 145,000.00
(If more space is needed, insert additional sheets of same size.)
REV-150~3 EX+ 4-86) ~.~,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS AND BONDS
ESTATE OF FILE NUMBER
ANN D. EDGINGTON
(All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.)
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
e
e
e
10.
11.
12.
13.
14.
272.213 shares of American Capital Income Builder
Fund @ $45.42 per share.
453.227 shares of American Capital World Growth
Fund @ $27.13 per share.
9,166.94 shares of Prime Fund Daily Money Market
@ $1.00 per share.
340.061 shares of Aim Charter Class B Fund @ $10.32
per share.
55 shares of Common stock of AOL Time Warner
@ 15.29 per share.
6,906.531 shares of American Balanced Fund @ $16.43
per share.
400 shares of Common stock of AT Home Corp. @ -0-
per share.
78 shares of Common stock of Carnival Corp. @ $33.62
per share.
102 shares of Common stock of Cisco Systems @ $20.20
per share.
241 shares of Common stock of Gateway, Inc. @ $5.79
per Share.
70 shares of Common stock of Intel Corp. @ $27.53
per share.
178 shares of Common stock of JDS Uniphase Corp.
@ $3.67 per share.
64 shares of Common stock of Microsoft @ $28.46
per share.
34 shares of Common stock of Qualcomm Inc. @ $42.48
per share.
TOTAL (Also enter on line 2, Recapitulation)
$12,363.91
12,296.05
9,166.94
3,509.43
840.95
113,474.30
2,622.36
2,060.40
1,395.39
1,927.10
653.26
1,821.44
1,444.32
$ 163.,575.85
(If more s~ace is needed, insert additional sheets of same size.}
. REV-]$0~' EX?
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
Please Print or Type
ESTATE OF FILE NUMBER
ANN D. EDGINGTON
(All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F.)
ITEM DESCRIPTION VALUE AT
NUMBER DATE OF DEATH
NONE
TOTAL (Also enter on line 4, Recapitulation) $ -0-
-U-
(If more space is needed, insert additional sheets of same size.)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Please Print or Type
ESTATE OF
ANN D. EDGINGTON
FILE NUMBER
JAil property jointly-owned with the Right of Survivorship must be disclosed on Schedule
ITEM DESCRIPTION
NUMBERI
Miscellaneous items of personal
attached appraisal.
property. See
TOTAL (Also enter on line .5, Recapitulation)
VALUE AT
DATE OF DEATH
$10,757.00
$ 10,757.00
(Attach additional BY=" x 11" sheets if more space is needed.)
COMMOI(/WEALTH OF PENNSYLVANIA
INHE~ITANC~ TAX RETURN
RESIDENT DECI:DENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF FILE NUMBER ANN D. EDGINGTON
Joint tenant(s):
NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Joshua Edgington Son
102 Strayer Drive
Carlisle, PA 17013
Jointly-owned property:
ITEM
NUMBER
LETTER
FOR
JOINT
TENANT
J
J
J
DATE
MADE
JOINT
DESCRIPTION OF PROPERTY
17/31/9
3/25/98
4/28/0!3
Money Management Account
#70-29950, at F&M Trust
Company, Boiling Springs,i
PA
Savings account,
#0800394, at F&M Trust
Company, Boiling Springs,i
Checking account,
#33-02792, at F&M Trust
Company, Boiling Springs
PA.
TOTAL VALUE
OF ASSET
DECD'S
% INT.
196.92 50%
1 , 1 58.61 50%
4,108.72 1100%
TOTAL (Also enter on line 6, Recapitulation)
DOLLAR VALUE OF
DECEDENT'$ INTEREST
98.46
579.30
4,108.72
4,786.48
(If more space is needed insert additional sfleefs of some size)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
ESTATE OF FILE NUMBER
ANN D.EDGINGTON
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
I ! DECD. DOLLAR VALUE
ITEM DESCRIPTION OF PROPERTY i ~ TOTAL VALUE % OF DECEDENT'S
NUMBER Include name of the transferee, their relationship to decedent, date of transfer. I EXCLUSION i OF ASSET INT. iNTEREST
837.604 shares of American Capita~
Income Builder Fund @ $45.42 per
share.
932.287 shares of American
Fundamental Investors Fund
@ $25.64 per share.
13,668.76 shares of Prime Fund
Capital;Reserves @ $1.00 per share
430.563 shares of Putnam Discovery
Growth Fund @ $13.92 per share.
200 shares of Common Stock of
Wal-Mart Stores Inc. @ $56.85
per share.
Annuity with UBS Financial
Services, Inc. All of the above
six (6'] items were in an IRA
account, listing the Decedent's
three [3] sons, Austin Edgington, ~
Eric Edgington and Joshua Edgington,
as her beneficiaries, each
receiving a 1/3 interest in the
IRA
'38,043.9J 100%
23,903.8~ 100%
13,668.76 100%
5,993.44! 100%
11,370.001 100%
157,000.001 100%
$38,043.97
23,903.84
13,668.76
5,993.44
11,370.00
57,000.00
TOTAL (Also enter on llne 7, Recapitulation) t S I 4 9, 9 8 0. 0 1
(If more space is needed, insert additional sheets of same size.)
~EVo1511
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Please Print or Type
ESTATE OF
ANN D. EDGINGTON
ITEM
NUMBER DESCRIPTION
FILE NUMBER
C.
1.
2.
3.
4.
5.
6.
7.
8.
FuneralExpenses:
Ewing Brothers Funeral Home
630 South Hanover Street
Carlisle, PA 17013
St. John's Episcopal Church
P.O. Box 612
North Hanover Street
Carlisle, PA 17013
Administrative Costs:
Personal Representative Commissions
Social Security Number of Personal Representative:
Year Commissions paid 2 0 0 3
160 -- 48 -- 2909
AttorneyFees Anthony L. DeLuca, Esquire
Family Exemption
Claimant Joshua ~. Edgingtoj~i%lationship
Address of Claimant at decedent's death
Street Address 102 Strayer Drive
son
City Carlisle State PA Zip Code 17013
Probate Fees
MiscellaneousExpenses:
Legal ADvertising - Cumberland Law Journal
Legal Advertising - The Sentinel
Inventory and Inheritance Tax R~turn-Filing fee
Diversified Appraisal Services - House Appraisal
Roy D. Gottshall, Auctioneer - Personal property
Appraisal
TOTAL (Also enter on line 9, Recapitulation)
(If more space is needed, insert additional sheets of same size.)
AMOUNT
$1,600.00
500.00
17,000.00
15,000.00
3,500.00
339.00
75.00
122.53
25.00
250.00
70.00
$ 38,48153
REV.$512'~X+ {I-93J ~
COMMONWEALTH OF PENNSYLVANIA
INHERJTANC~ TAX I~ETURN
RESIDENT D~C~DENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
ESTATE OF
ANN D. EDGINGTON
Please Print or Type
FILE NUMBER
ITEM
NUMBER DESCRIPTION
1.
South Middleton Township Municipal
Water & Sewer
BETRA IN HOME CARE - In home care
F&M Trust Company - Mortgage
Authority
taker services
TOTAL (Also enter on line 10, Recapitulation)
AMO U NT
$122.10
1 , 496 . 00
90,139.80
S 91,757:~90
(If more space is needed, insert additional sheets of same size.)
.REV. 1S 13' EX,+ (2-87) ~
COMMONWEALTH OF P~NNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
ANN D. EDGINGTON
ITEM AMOUNT OR
NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP SHARE OF ESTATE
A. Taxable Bequests:
1. Austin E. Edgington, III Son One-Third
1514 Folger Drive
Belmont, California 94002
2. Eric L. Edgington Son One-Third
2535 Mountain Highway 434
Wolfe Creek, Montana 59648
3. Joshua ~.' Edgington Son One-Third
102 Strayer Drive
Carlisle, PA 17013
ITEM AMOUNT OR
NUMBER NAME AND ADDRESS OF BENEFICIARY
SHARE OF ESTATE
B; Charitable and Governmental Bequests:
NONE
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation)
-0-
(If more space is needed, insert additional sheets of same size)
LAST WILL AND TESTAMENT
OF
ANN D. EDGINGTON
I, ANN D. EDGINGTON, a resident of Boiling Springs, Cumberland
County, Pennsylvania being of sound mind, memory and understanding,
do hereby make, publish and declare this to be my Last Will and
Testament, hereby revoking all Wills and Codicils heretofore made
by me.
ITEM 1: I direct that all my just debts, the expenses of my
last illness and funeral expenses be paid as soon after my decease
as the same can conveniently be done.
ITEM 2: I direct that there shall be paid out of my residuary
estate all estate, inheritance and like taxes together with any
interest or penalty thereon imposed by the government of the United
States, or any state or territory thereof, or by any foreign
government or political subdivision thereof, in respect to all
property required to be included in my gross estate for estate,
inheritance or like tax purposes by any of such governments,
whether the property passes under this Will or otherwise,
excluding, however, any property over which I have a taxable power
of appointment, provided, however, that no residuary beneficiary
shall by reason of this provision be denied the benefit of any
deduction, credit, favorable rate of tax or other benefit which by
law enures to such beneficiary.
ANN D. EDGINGTON
LAST WILL AND TESTAMENT.
OF
ANN D. EDGINGTON
ITEM 3: I give, devise and bequeath all of the rest, residue
and remainder of my estate, real, personal and mixed, of whatsoever
kind and nature, and wheresoever situate at the time of my death,
in equal shares, unto my children, AUSTIN E. EDGINGTON, III, ERIC
L. EDGINGTON and JOSHU~ K. EDGINGTON, provided, however, that they
survive me and are living sixty (60) days after the date of my
death.
ITEM 4: If and in the event that a child of mine does not
survive me and is not living sixty (60) days after the date of my
death but is survived by issue, then and in such event, I give,
devise and bequeath the interest in my estate, which such deceased
child would have received, if living, to the issue of said deceased
child, per stirpes.
ITEM 5: I hereby nominate, constitute and appoint my son,
JOSHUA K. EDGINGTON, Executor of this my Last Will and Testament,
with full power to do any and all things necessary for the complete
administration of my estate, and direct that no bond or other
surety is required of him in this or any other jurisdiction for his
performance of this office.
OF
ANN D. EDGINGTON
If and in the event that my son, JOSHUA K. EDGINGTON, does not
survive me and is not living sixty (60) days after the date of my
death, or does not comp.lete his duties as Executor, then and in
such event, I hereby nominate, constitute and appoint my son,
AUSTIN E. EDGINGTON, III, Executor of this my Last Will and
Testament, with full power to do any and all things necessary for
the complete administration of my estate, and direct that no bond
or other 'surety is required of him in this or any other
jurisdiction for his performance of this office.
ITEM 6: If any provision of this Will or of any Codicil
hereto is held to be inoperative, invalid or illegal, it is my
intention that all the remaining provisions thereof shall continue
to be fully operative and effective, so far as is possible and
reasonable.
IN WITNESS WHEREOF, I, ANN D. EDGINGTON, the Testatrix, have
to this my Last Will and Testament, typewritten on four (4)
consecutively numbered pages, subscribed my name and affixed my
seal this ~?~ day of February, 1994.
(SEAL)
3
Signed, sealed, published and declared by the above named ANN D.
EDGINGTON, as and for her Last Will and Testament, in the presence
of us, who have hereunto subscribed our names at her request, as
witnesses hereto, in the presence of the said Testatrix, and of
each other.
4
OF
A SI~GLE:F~Y DWELLING
,~S OF
SEPTE~ER 28;.
SV~R¥ OF',.~:o~T.'~'~.~/I~T,S· AND~,.CoNcLUSIONS
LOCATION: ~
TAX P,At~CEL. ~ER~:
40-231:,0-602~0648~UI0 !025
Of: the
tmit':in~,'~the~ Prope,~,.:. ',~own/
~S
,"South
~ted
£
~nventory of the real and personal estate of
ANN D. EDGINGTON
deceased
share·
Residence situated at 102 Strayer Drive, Carlisle, PA 17013
272.213 shares of American Capital Income Builder Fund
@ $45·42 per share· ~':
453·227 shares of American Capital World Growth' Fund
@ $27.13 per share.
9,166.94 shares of Prime Fund Daily Money Market @ $1.00
per share·
340.061 shares of Aim Charter Class B Fund @ $1I' 32 per share
55 shares of Common stock of AOL Time WArner @ $15 29 per
share. '
6,906.531 shares of American Balanced Fund @ $16.43 per share1113,474
400 shares of Common stock of AT Home Corp. @ ~33.62--9-~ D~er..~~sh~-~re' !! -0-
78 shares of Common stock of Carnival Corp. @
10. 102 shares of Common stock of Cisco Systems @
share.
11. 241 shares of Common stock of Gateway, Inc. @ $5.79 per share.
12. 70 shares of Common stock of Intel Corp. @ $27.53 per share.
13. 178 shares of Common stock of JDS Uniphase C~rp. @ $3.67
per share.
14. 64 shares of Common stock of Microcom5 @ $28.46 per share.
15. 34 shares of Common stock of Qualcomm Inc. @ $42.48 per
share.
16. Miscellaneous items of personal property.
I , 395
1 , 927
65~
. 1 32
~10,757i00
319,33 .85
45,000 0'0
12,363 91
12,296 ~5
9,166 )4
3,509 43
840.9~5
36
40
39
10
26
COMMONWEALTH OF PENNSYLVANIA ~ ss:
COUNTY OF CUMBERLAND .]
Joshua k. Edgington *.
Oe;ng duly sworn according fo law, deposes and says fhaf he* is
the Executor of {.he Esfafe of Ann D* ~.dqington
[ale of __C~e ............. , CumberJand .Coun{.y Pa., deceased and {.ha{. {'he
wifhln is an ~nvenfory made by him , fhe said Executor '"'*'""
of fhe enfire es{.a{.e of sa;d deceden{., cons;sf{ng of all {.he personal properly and re~al
'he CommonweaJfh of Pennsylvania, and fhaf fhe figures opposffe each ffem of fhe Invenfory represeRf if's fa;r value
es o{ fha dale of decedenf's deafh.
Sworn
and subscFibed before me,
Joshua k. Edg±ngton :.
. 1 02 Strayer Drivet Carlisle, PA 17013
Ac~clress
Dale of Deafh 28th September '.' 2003
IIOUll¢NOTARIAL SEAL
MNUOelE A DELUCA
Nota~/Pub. c
MI~ 1V~ COLINIY
My ~Commlll~ EXl~ Nov 4, 2007
Day Month Year
INSTRUCTIONS
1. An ;nvenfory musf be filed wffhin fhree monfhs affer appo;nfmenf of personal represen+ef;ve.
2. A suppJemenf invenfory musf be filed wifhin fhiHry days of discovery of addffionai assefs.
3. Addff~ona/ shee{.s may be affached as fo personally or rea/fy
4. See Ar{.icte IV, Fiduciaries Acf of 1949 .... ~'
Postmark
Here
· ~plete items 1,2, arid 3. Also complete
Item 4 if Restricted Delivery is desired~
· ' Print your name and address on the reverse
8o that we can return the card to you.
B Atta~ ch this card to the back of the mailplece,
' ' o~ on the front if space permits.
I 1. ArticleAddressed to:
DELUCA ANTHONY L ESQ
113 FRONT ST
BOILING SPRINGS PA 17007
2. '.Arltcle Number
.~ from service lat3et}
! ~ Form13811, August
7003 1010 0001
I I I I~mestic Retum Receipt
1203 8205
BUREAU OF INDTVTDUAL TAXES
TNHERZTANCE TAX DIVTSTON
DEPT. 18060!
HARRTSBURG, PA 17118-0601
CONHON#EALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOHANCE OR DISALLO#ANCE
OF DEDUCTIONS AND ASSESSNENT OF TAX
REV-1047 EX AFP (01-05)
ANTHONY L DELUCA ESQ
115 FRONT ST
PO BOX 558
BOILING SPRGS
~,+ DATE 02-24-2004
~'~r ESTATE OF EDGINGTON
.... ;__' vVmS
DATE OF DEATH 09-28-2005
FILE NUNBER 21 05-0814
FEB 27 P1:01 COUNTY CUHBERLAND
ACN 101
CUT ALONG THIS LINE
Amoun'~ Rem i'l:'l:ed
ANN
D
HAKE CHECK PAYABLE AND REHIT PAYHENT TO:
REGISTER OF HILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17015
RETAIN LO~ER PORTION FOR YOUR RECORDS *~
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSENENT, ALLOWANCE OR DTSALLO#ANCE OF DEDUCTIONS AND ASSESSNENT OF TAX
ESTATE OF EDGTNGTON ANN D FILE NO. 21 03-0814 ACN 101 DATE 02-24-2004
TAX RETURN HAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNTNG FUTURE /NTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN DASED ON= ORIGINAL RETURN
1. Real Es~a~e (Schedule A) (1)
2. S~ocks and Bonds (Schedule B) (2)
$. Closely Held S~ock/Par~nership In,eras* (Schedule C) ($)
fi. Nor~geges/No~es Receivable (Schedule D) (~)
5. Cash/Bank Deposits/Misc. Personal Proper~y (Schedule E)
6. Jointly Owned Proper~y (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. To,el Asse~s
APPROVED DEDUCTIONS AND EXENPTIONS:
9. Funeral Expenses/Ada. Cos~s/Hisc. Expanses (Schedule H) (9)
10. Deb~s/Nor~gaga Liabilities/Liens (Schedule I) (10)
11. To,al Deductions
12. Ne~ Value of Tax Ra~urn
145z000.00
165z575.85
O0
.00
10z757.00
786 48
149z980.01
(8)
58,481.55
NOTE: To insure proper
credi~ ~o your account,
subai~ ~he upper portion
of ~his fora wi~h your
~ax payment.
15.
1~.
NOTE:
474,098.49
91~757.90
(11) 130.239.~3
(lZ) 343,859.06
.00
543,859.06
Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15)
Na~ Value of Es*a~e Subjec~ ~o Tax (1~)
If an assessment ~as issued previously, l~nes 1~, 15 and/or 16, 17,
reflect f~gures that Anc/ude the total of ALL returns assessed to date.
18 and 19 w111
ASSESSHENT OF TAX:
15. Aeoun~ of Llne lq at Spousal ra~e
16. Amoun~ of Line lq ~axable a~ Lineal/Class A ra~e
17. Amoun~ of Line 1~ a~ Sibling re~e
18. Amoun~ of Line 1~ taxable at Collaleral/Class B rata
19. Principal Tax Due
TAX CREDITS:
PAYNENT RECEIPT DISCOUNT (+)
DATE NUHBER INTEREST/PEN PAID (-)
12-19-2005 CD005551 775.68
(15) .00 x O0 = .00
(16) 545,859.06 x 045 = 15,475.66
(17) .00 x 1Z = .00
(18) .00 x 15 = . O0
(19)= 15,475.66
ANOUNT PAID
14,699.98
15,475.66
.00
.00
.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE 1S REFLECTED AS A "CREDIT" (CR)~ YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF TH/S FORN FOR INSTRUCTIONS.)
RESERVATION:
PURPOSE OF
NOTICE:
PAYMENT:
REFUND
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Estates of decedents dying on or before December 1Z, 1982 -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years, the Commonaealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such futura interest.
To ~ulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (TI P.S.
Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Mills printed on the reverse side.
--Make check or money order payable to: RESISTER OF NILLS, AGENT
A refund of a tax credit, which ams not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania inheritance and Estate Tax" (REV-1313). Applications are available at the Office
of the Register of Rills, any of the Z3 Revenue District Offices, or by calling the special Z4-hour
answering service for forms ordering: 1-800-362-Z050; services for taxpayers with special hearing and / or
speaking needs: 1-800-447-3020 {TT only).
Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment
of tax (including discount or interest) as sheen on this Notice must object eithin sixty (60) days of receipt of
this Notice by:
--aritten protest to the PA Department of Revenue, Board of Appeals, Dept. zeIOZ1, Harrisburg, PA 171lB-lOll, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Raviem Unit, Dept. Z80601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-IS01) for an explanation of administratively correctable errors.
If any tax due is paid aithin three (3) calendar months after the decadent's death, a five percent (5Z) discount of
the tax paid is alloaed.
The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January ZB, 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 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 1, 1982 bear interest at the rate of
six (6Z) percent per annum calculatad at a dally rate of .000164. All taxes which became delinquent on and after
January 1, 1982 will bear interest at a rate ehich will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2003 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 20Z .000548 1987 9Z .000247 1999 7Z .000192
1983 16X .000438 1988-1991 11Z .000301 2000 8Z .000219
1984 IXZ .000301 199Z 9Z .000247 2001 9Z .000247
1985 132 .D003S6 1993-199~ 72 .00019Z 200Z 62 .000164
1986 XOZ .000Z74 1995-1998 9Z .000Z47 2003 52 .000137
--Interest is calculated as folloas:
INTEREST = BALANCE OF TAX UNPAID
X NUMBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent mill reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
Name of Decedent:
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Ann D. Edqington
Date of Death: September 28, 2003
Will No. 2 0 0 3- 0 0 81 4 Admin. No.
To the Register:
I certify that notice of 0aenefieial interest) estate administration 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 December I 6 .. 2 0 0 3 -
Name Address
Austin E. Edgington, III, 1514 Folger Drive, Belmont, CA 94002
Eric L. Edgington, 2535 Mountain Highway 434, Wolfe Creek, Montana 59648
Joshua k. Edgington, 102 Strayer Drive, Carlisle, PA 17013
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except A11 have been notified.
Signature
Name Anthony L. DeLuca, EBquire
Address 113'Front St., P.O. Box 358
Boiling Springs, PA 17007
Telephone (71 7 2 5 8- 6 8 4 4
Capacity: ~ Personal Representative
X Counsel for personal representative
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Ann D. Edgington
Date of Death: September 28, 2003
Will No.
2003-00814
Admin. No.
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 X 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 X
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 X 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: Yj<~['
~okA~~
Signature' .
!()
("")
Anthony L. DeLuca, Esquire
Name (Please type or print)
113 Front Street
P.O. Box 358
Boiling Springs, P A 17007
Address
(~ :.'
\.
~ '.,J
_.
~
,-
,
(717) 258-6844
Telephone number
Capacity: _ Personal Representative
--2L- Counsel for personal representative
i
C
~