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HomeMy WebLinkAbout04-0210ELIZABETH K. WILSON,-M-:~. 326 SOUTH SIXTH STREET ESCANABA, MICHIGAN 49829 (906) 786-3709 February 19, 2004 Cumberland County Register of Wills Cumberland County Courthouse Hanover & High Street Carlisle, PA 17013 Re: Estate of J. Herbert Wilson To the Honorable Register of Wills: On February 9, 2004, my father, J. Herbert Wilson passed away. In his Last Will and Testament, he named me as Executor. I am a practicing physician in Michigan and can not devote the time necessary for probating the estate. I hereby renounce the right to administer the estate. My sister, Lynn W. Henselman, is named a contingent executor and I respectfully request that Letters of Testamentary be issued to her. I understand that she and my father's attorney, Joseph D. Buckley shall be presenting a petition to effectuate the same and will be also presenting this original letter which I am delivering to Attorney Buckley's office. Thank you very much and if a question arises please contact me. Respectfully yours, Elizabeth K. Wilson,..MrB:. THE LAW OFFICES OF JOSEPH D. BUCKLEY 1237 HOLLY PIKE CARLISLE, P A 17013 TELEPHONE (717) 249-2448 JoeBLaw@aol.com FAX (717) 249-4103 January 21, 2008 Glenda Farner Strasbaugh Register of Wills Cumberland County Court House One Courthouse Square Carlisle, P A 17013 Cl N N .; -- ~ ("....... '~..i -'-J<..:''' N w --1 Re: Estate of John Herbert Wilson a/k/a J. Herbert Wilson Estate No. 2004-00210 To those concerned: Enclosed please find an original and one copy of the Inheritance Tax Return for the above mentioned estate. Please note that there is refund due of $10,844.00. Please ensure that this refund is promptly returned to the estate. Thank you and if you have any questions, please call my office. Very sincere 1 y yours, JDB/clb Enclosure cc: Lynn W. Henselman, Executrice Anastasia DiBartolomeo, P A Dept. of Revenue '1500 EX ,6001 *" COMMONWEALTH OF _ PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 21-04 00210 -- ----- COUNTY CODE YEAR NUMBER t- Z W o W o W o DECEDENrs NAME (LAST, FIRST, AND MIDDLE INITIAL) Wilson, John Herbert a/k/a Wilson, J. Herbert DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MU-DO-YEAR) 02/09/2004 10/08/1920 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Wilson, June F. SOCIAL SECURITY NUMBER 136- 18 -4353 THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WillS SOCIAL SECURITY NUMBER w .~CI) )<< ~ teL. () 00 } << ..J C1.lD 11. 0( [] 1. Original Return D 4. Limited Estate D 6. Decedent Died Testate (Attach copy of Will o 9. Litigation Proceeds Received 1 55 - 03 -5750 o 2. Supplemental Return D 4a, Future Interest Compromise (dale of death after 12.12-82) o 7. Decedent Maintained a Living Trust {Attach copy of Trust) o 10. Spousal Poverty Credit (data of dealh between 12.31.91 and 1-1-95) D 3. Remainder Return (dale 01 death prior 10 12-13-82) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (AlI8ch Sch 0) (717) 249-2448 1 Real Estate (Schedule A) 2 Stocks and Bonds (Scheclule B) 3, Closely Held Corporation, Partnership or Sole-Proprietorship 4 Mortgages & Notes Receivable (Schedule D) 5, Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Properly (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 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 z o ~ .- :;:) a. ~ o o ~ 20.~ CHECK HERE IF YOU ARE REOUESTING A RFFUND OF AN OVERPAYME:.N r . 1_. . / ~ ,. - - .....::- ~- ,~<., - COMPLETE MAILING ADDRESS t- Z ~ ~ 11. CI) W << a: o o NAME Joseph D. Buckley FIRM NAME (If AIl,.pUcable) Law Ofrices of Jose h D. Buckle TELEPHONE NUMBER 1237 Holly Pike Carlisle, PA 17013 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11, Total Deductions (total Lines 9 & 10) 12, Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (1 ) (2) (3) (4) (5) -0- 359,072.42 OFFICIAL USE ONLY ;...~..:> = c."::'.:j c::::> c_" ~ 140,732.26 (6) -0- z o ~ ...J ::) t- o: c( o W IX: 8. Total GroH AsHta (total Lines 1-7) 14. Net Value Subject to Tax (Line 12 minus Line 13) (7) 292,431.00 (8) 792,236.00 (9) (10) 30,666.31 70,056.96 (11) 100,723.00 (12) 691 ,513.00 (13) 293,431.00 (14) 398,082.00 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) x .0 _ (15) 368,182.00 30,000.00 16,564.00 3,600.00 x .0 _ (16) x .12 (17) x .15 (18) (19) 20,164.00 \ .~0 , Decedent's Complete Address: STREET ADDRESS 94 Ege Drive CITV PA I ZIP 17013 I STATE Carlisle Tax Payments and Credits: 1 Tax Due (Page 1 Una 19) 2 CreditslPayments A. Spousal Poverty Credit B. Prior Payments C Discount (1 ) 20,164.00 30,000.00 -0- 1 .008.41 Total Credits ( A + B + C ) (2) 31,008.00 3 I nterestlPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty ( D + E ) (3) 4 If Line 2 is greater than Line 1 + Une 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) -0- 10,844.00 5 If Line 1 + Une 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) (SA) (58) A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. -0- Make Check Payable to: REGISTER OF WILLS, AGENT '. ,. :~~~~~~~~iiti~L~~~~t~I~g~~~~~~'I~;g~~~~litili~1t!:~:.~:t:!,~:~~~~~~!;~~l~ili~:~'~ilt~r~~%~~-ffi~fftm}.~~'V~~W~ . ~.~. '~:~;'~;'~~'~'"r("~ ~~^.~:~"1. '-.. :~_.; . ,,; I ~;.~~2;" PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS No XJ KJ KJ KJ &J KJ 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;...........................................................................m............ 0 b. retain the right to designate who shall use the property transferred or its income; ............................................ D c. retain a reversionary interest; or.. ................. ....... ................... ............... ......... ........................... .......................... 0 d. receive the promise for life of either payments, benefits or care? ....m............................................................... 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .. .............. .............. ................. ......., .......... ........................... .................. 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ... ........... ............ .............. ....... ............ ............... .................. ......... .......... ......... 0 KJ OVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. DATE Lynn W. Henselman, Executrice !his return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. nlatille is based on all information of which preparer has any knowledge. 81 E FO ING RETURN stafford, VA 22556 Joseph D. Buckley, Esquire 1237 Holly Pike, Carlisle, PA 17013 1/18/2008 DATE 1/18/2008 '~~.i: .~,~~;:rjaiti~'~1iff~t~]~l~t~~~~~~~J;;1:~::7ZlJlt-i~~i;~i~i~:~~.~.,:~..;~.: .:~:~.~~:~~. :~:::~.~.:.~.;:~~~~il:i~[.~~.:l~~~~~~ili:i~~:]~~~~i 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 PS ~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) On). 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 retum 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. 99116(a)(1.2)). The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. S{J116(a)(1)]. The lax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% {72 P.S. ~g116(a)(1.3}]. A sibling is defined, under Section 9102, as an indiwiua\ who has at least one parent ill common with the decedent, whether by blood or adoption. . w~/:~~~,,~ ~~.."c.;:~:: r~~..i ~~: ~~ 'f~~E ~ - ~" ~. ~? ~~:-l~' RE v 1503 EX + (4-86) *' SCHEDULE B STOCKS AND BONDS COMMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Wilson, John Herbert a/k/a Wilson, J. Herbert 21-04-00210 (All property ioIntly-owned with Right of Survivonhip mUlt 1M discloMelon Schedule F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Wachovia Securities Account (See attached list) 317,880.42 2. u.S. Savings Bonds 41,192.00 TOTAL (Also enter on line 2, Recapitulation) (If more space is needed, insert additional sheets of same size.) $ 359.072.42 03:3:3:"11Z~:ro oCii'~ 0 s!as 8"2 !!!. g (Q a: a. en a. 3 :s :s = S. 2: 0 CD UJ CD S' m A>> -'< :Eg )> R-(Q O::lCD a)> -.... a.. 0 A>> (It C :f;::;:a.n CAg;S"a..iD&.::t:~ .:T0Ul3.en ~:T 3: .... A>> ~ m -.. ,. 0=:::J0 g-3: :. ~n c d:~ "TI ~ -0 1CI o' ~ ::J am i{ a~ ~ &'3 en -Q. m CD 2.. ::1m ~ ::I Q, OA>> ~ .... A>>::s o ~~ CD 0 "tJ CD . "tJ m . m m - ~ .... .... m .m 10 : ll- ~ '" ..... CD ....MO~............."'~ ~oo'88' 8' O~A ~o~ oo~ - ..... -- ..... '" .... .... ..... .:'" "'0)8 0) 0..... en.... "'..... ...."'.....ll- ~~8&8& ~ ..::lI a.. ...., c S- III ...,., c: &. MI . ~ en Co ... r"l ..0 c: 5 ""rJ c: ~ ~ ... . 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(J)~ ~ rn...... ~ ~~ -\ ~\ ~ ~~ 'A- ~b 'r (')~ ~ Jl'~ ~ ~ (') ";t'- (J)~ 9.. tP -0 ." ~o 0 o~ a % ~ ~:.~\'1 9'\~\~ ~:c,,>:""" c,,> ". 9> :. ~ .......:~'.o <o:.,U\:o .,. ~ .... <t (J) ~ '1' .... :x::-\ l& !- ~~ c. rn< - w~ ~ ~r> \ mlil "1'1-0 --;0 ~ 9,- ~ ~~ ~ _ t: z -;0 e. -\Jl' "1'\ ~ fi\ c::. t(rl iO :s ~~ i ~~ ~ ~<:. 0 /U {'O ~ ~(J) 0 :x: "1'1 """ ~c ." ~~ .... ~ o c,,> -~ (I.) .... o ~ o .,. ~ -i ~ "'" ~ -~ I.P N (0 t.2 "'0 ~ 8 't3 IJ' '"'11" ,9. a:i ,,<9 .2~ ,JI. ::l. .g. "". ' , "" s: ~ ~ s .po. (') o ~ ~ I o -g n o c a ~ ~ ~ ~ c- i i ~ -. ~ tit i ~ ~ g ! .-\ ~ (0 ~ g "'~ ~ro t1\~ ~ ... \i ~ u> ...... '\6 2- ~;O ~~ ~z rn.-\ "' z.J!'~ -..g; ~~~ ~'8'8 i ~ ~ ~ ~ o ~ (0 ~ .... .... -;1. ~ ; ltt'l %~ 5~~ ON~ ~\3~ g .<,;0 m~ 6~ g ~ ~ ~ (1) (") - ~ ~ YJ ~ (1) 3 (l) ~ "'0 ~ c,,> 9.. ...... o , , """":""'''''''''1. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ~STATE OF John Herbert Wilson aka J. Herbert Wilson FILE NUMBER 21-04-00210 nclude 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 discloud on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH Checking Account (Orrstown Bank) 18,182.89 2. Savings Account (Orrstown Bank) 120,549.37 3. Wachovia (dividend check) 2,000.00 . TOTAL (Also enter on line 5, Recapitulation) $1 40, 732 .. 26 (If more space is needed, insert additional sheets of the same size) -'~""'''.". '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY John Herbert Wilson a/k/a J. Herbert Wilson FILE NUMBER 21-04-00210 ~STATE OF This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. TEM 1~8EB 1. - r DESCRIPTION OF PROPERTY INCLUDE THe NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT ANO THE DATE OF TRANSFER ATTACH A COPY OF THE OEED fOR REAL ESTAte , DATE OF DEATH VALUE OF ASSET 292,431.01 %OF DECO'S INTEREST 100 EXCLUSION (IF APPlICABlE\ TAXABLE VALUE Trust - J. Herbert Wilson Trust #3 U/A/D 3-07-1997 (See attached) 292,431.01 TOTAL (Also enter on line 7, Recapitulation) S 292,431.01 ~ t~tit'i % :~g 11~"9.::; ~ ci 0 "" ~ ~ ~ - ~ ~ c c: &>> ... as.cal~~ :s i: l · .., ... i 2: Eo: ~ i.il1 9- (I _...n -" .. ,t%:!.~Q.. ~ tr - _:::r~ il~~S- CD....ct.. ~~ ~ . ~itgi.~ S' . . .... ... 0.; <!woS' aic:~!"6 ~ en er. ..~ o ';J~3 ~o~,. Cn ~ ~ I C ~i7 <. :t : " ~~Q.<" % ~J.n ::II I.. !.. -< e. . _:10020 n. CD 8 ~ 3 ~ .. 0 ~-')>o-' (i'g~en3 ~ ." ~-c c: n. -I !.. o . toot wa-a..c:g a.~I!.:!\"Q. C , OOJ !l, .. c: iT i i Q. ::a~=':2'< mscn < ... ..... i'" s.~_. ~ CD l c: . . ..3_-.fIl ~...!ow E 3:~"" ~ tt 1. ~ _..o='B ct ~-. ~)>% o .. -. 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' ~ ""'" :s:')oo k CC o .'Z :c :s: 0 ~ i ,..(1)00 i ~ !.CDCDCD~i. i. ~~$Si 1 ~ OD~~.~ tr i CIl ... ... 0 ...... ~~~~~ t III t) ~~~ i n "111 i. a 8 !.a!. ~ -\-\-' ... '2 ... ~ c c ,.,.", t ~ )> ~ t'\ 0 a. :s ~ $O~ ~~G .... ... -a~'" OD a- te ~ ,; , i \~\ ~ o\~ -'2 .,. :3 a ~~i c · ,~ l,~ l .o..a ~J CoD ... .~fs.ODt\~ S , ~ -;:.~~~~\ 0 s.~8\\\ODG ~ c.a ~ 9- ~ ~ - ..... ~ c.a .,. - :gggg - ~ i i lit :gggsi - .... n l ~ o l- S c.a a C!' 1. .. ~-.I~ClOt1 ~~~::~-t s.~$Q\ODi. - - -t i c: i i ~ ~ Q. '!. i \ b ~jP. ':'" :ii ~ii ~ - ~ ~ ~ . ..., ~j' "c.a .-.1 (,.J ..., 0 i ~ ~S~i9t. \ ~ 'B .. \ a a. 9 ., ... OJ 0 .2 P:- C 2.- . go ~ \ ~ c: ... ...-- '" '\ ., ~ REV-1511 EX+ (12-99) .' . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF John Herbert Wilson a/k/a J. Herbert Wilson Debts of decedent must be reported on Schedule I. FILE NUMBER 21-04-00210 ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT 1. Memorial Service Carlisle, PA 1,000.00 3,000.00 2. Memorial Service and Interment New Jersey Bound Brook Presbyterian Church B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) n.a. Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State _ Zip Year(s) Commission Paid: 2. A~~Fen Joseph D. Buckley, Esquire 23,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State _ Zip 4. Probate Fees 500.00 5. Accountant's Fees 6. Tax Return preparer's Fees 8. 9. Travel Expenses of Executrices Michigan to Pennsylvania Virginia to Pennsylvania (numerous trips) Legal ~dvertisernent Misc. (Mailings-certified and overnight mail) 2,400.00 111.31 155.00 1. TOTAL (Also enter on line 9, Recapitulation) $ 30, 66 6 . 3 1 (If more space is needed, )nsert additional sheets of the same s,ze) ':""""", '. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DE DENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS __ __4 ;TATE OF FILE NUMBER John Herbert Wilson aka J. Herbert Wilson 21-04-00210 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 69,911.24 Loan from Wachovia Securities as against account 2. Masland Associates (doctor bill) 88.12 3. Central Penn Medical Group 57.60 TOTAL (Also enter on tine 10, Recapitulation) $ 70, 0 ~ 6. 96 (If more space is needed. insert additional sheets of the same size) REV-1513 EX+ (9-00) . * COMMONWEALTH OF PENNSYLVANIA INHERITANce TAX RETURN RESIDENT DEceDENT SCHEDULE , BENEFICIARIES - eSTATE OF John Herbert Wilson a/k/a J. Herbert Wilson NUMBER I II FILE NUMBER 21-04-00210 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS {include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Mildred W. Snyder (specific bequest) 102A Middlesex Village Middlesex, NJ 08846 RELATIONSHIP TO DECEDENT Do Not Lilt Trustee(s) AMOUNT OR SHARE OF ESTATE sister $30,000.00 2. Lynn W. Henselman 59 Beaver Lodge Road Stafford, VA 22556 50% balance daughter 3. Elizabeth K. Wilson, D.O. 326 South Sixth street Escanaba, MI 49829 50% balance daughter 1. ENTER DOLLAR AMOUNTS FOA DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18. AS APPROPRIATE. ON REV~1500 COVER SHEET NON. TAXABlE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE J. Herbert Wilson Trust U/D/A 03107/1997 - UBS Account (copy attached) 292,431.00 1, B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Bound Brook Presbyterian CHurch (specific bequest) 409 Mountain Avenue Bound Brokk, NJ 08805 1,000.00 TOTAL OF PART ll- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 293, 431 · 00 (If more space is needed, insert additional sheets of the same size) Estate of J. Herbert Wilson PETITION FOR PROBATE and GRANT OF LETTERS also known as John Herbert Wilson To: Register of Wills for the County of Social Security No. I ~ & ' t'cf - q~$ ~eceased. Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older avdthe executor in the last will of the above decedent, dated M~y and codicil(s) dated in the named ,L998 and that originally named executor ELIZABETH K. WILSON h~yeno~ced her aooointment as executor, petitioner beSn~ th~ ~.onP~n~,~'t (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland Coun{y, Penns~ania, ~th his last family or principal residence at 94 E~e Dr'~ve: .qO~lth M-[ddleton 4Downs~p O (list street, number and muncipality) Decendent, then 83 years of age, died February 9 '1:'~ at h±s saLd home, 94 Ege Drive Carlisle~ PA 17013 Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: 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: $ 400~000.00 $ WHEREFORE, petitioner(s) respectfully pre~ented herewith and the grant of letters theron. Lynn W. Henselman request(s) the probate of the last will and codicil(s) testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF Cumberland 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 khowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well ar/dk~,/~/]trul~administer the esta.t,e according to law. Sworn to or affirmed, and subscribed b~re~me ~s~ ~. ,.~"1%X-x. ,il 00~t l~day of Estate of J. HERBERT WILSON , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW - ! ~ LL/~'~__ _,~_- xI~gX 200,4in consideration of the petition on the reverse side here~f, satis'iractory proof having been presented before me, IT IS DECREED that the instrument(s) dated described therein be admitted to probate and filed of record as the last will of J o HERBERT WILSON and Letters of testamentary LYBTN W. IIENSELMAN are hereby granted to FEES Probate, Letters, Etc .......... Short Certificates( ) .......... Renunciation ................ TOTAL Filed,..~. '..2.z g QO~ ..................... Joseph D. Buckley (#38444) ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE LAST WILL AND TESTAMENT OF J. HEI ERT WILSON - On, O I, J. HERBERT WILSON, domiciled and resident at 17 Hendel Loop, Carlisle, Township of South Middleton, County of Cumberland, Commonwealth of Pennsylvania, declare that this document is my Will and revoke all my previous Wills and Codicils. IDENTIFICATIONS AND DEFINITIONS I am married to JUNE F. WILSON ("my wife"). I have two (2) children, ELIZABETH K. WILSON and LYNN W. HENSELMAN, they are referred to in the will as "my children". II. PAYMENT OF EXPENSES, DEBTS, AND TAXES I direct my Executor to pay medical, funeral, and administrative expenses and all taxes payable by reason of' my death, before any division of my estate. My Executor shall not attempt to have any part of such taxes apportioned among the recipients of property includible in determining the amount of such taxes. Proceeds on ins~ce on_.my life up to the maximum allowable as an exemption from Pennsylvania ~ritan~ Tax land distributions from pension and profit sharing plans exempt from fedS]-al estat~tax, all of which are payable to my Trustee or any beneficiary (other than my~estate), ~l~all nOt be used to pay debts, taxes, expenses of administration or other charges ~gainst n~estateS.; III ' SPECIFIC BEQUESTS ~, ~. 63 I bequeath the sum of One Thousand ($1,000.00) Dollars to Bound Brook Presbyterian Church of Bound Brook, New Jersey; and, the sum of Thirty Thousand ($30,000.00) Dollars to my sister, MILDRED W. SNYDER. The ninety (90%) percent refund on our present home which shall be forthcoming from our adult community Cumberland Crossings shall be divided fifty (50%) percent to my children who survive me and fifty (50%) percent to my wife's children who survive me. IV. SPOUSE SURVIVING My wife and I were married previously and thus entered into a prenuptial agreement relating to our respective estates at that time. The terms of that agreement are incorporated herein by reference. Vo DIVISION OF PROPERTY I dispose of my property as follows: Tangible Personal Property: I give my tangible personal property in equal shares to my children who survive me, to be divided among them as they shall agree; if they fail to reach agreement within sixty (60) days of my death, this tangible personal property shall be divided among my children as my Executor determines appropriate, in shares of substantially equal value. I recommend, but do not require, that all such items of tangible personalty be appraised and that the children select in rotation items at the appraised value, the order of choice to be determined by lot. Kesiflue: I give all other property which I own or over which I have a testamentary power of appointment, to and for the benefit of my issue who survive me, as follows: To each who has attained the age of twenty-five (25) years, the share which he/she would take if all such property then were being distributed to my issue who survive me, per stirpes. To my Trustee hereinatter named, the balance of such property, to be held, administered and distributed as provided in the article of this Will entitled TRUST FOR ISSUE. VI. TRUST FOR ISSUE This trust is established for the benefit of my issue from time to time living who have not attained the age of twenty-five (25) years and who do not have a parent who received either a part of the residue at my death under Article IV or a portion of the corpus of this trust subsequently at age twenty-five (25) years. Income: The net income shall be accumulated and thereafter treated as corpus. C..orgm: From the corpus of the trust, the Trustee shall pay from time to time or for the benefit of such one or more beneficiaries such variable amounts (even to the exhaustion of the trust) as are appropriate, in the discretion of the Trustee, for support and care where the beneficiary is not self-supporting through no fault of his own, for education (defined as four years of college, or equivalent preparation in business, technical or trade training) if the beneficiary strives therefor in good faith, and for extraordinary requirements occasioned by illness or other misfortune. Amounts of corpus so Page 2 distributed shall not be taken into account in making division of the trust when a beneficiary attains the age for distribution to him provided in the next four paragraphs. It is my expectation and intention that if guardians of the person are appointed for a minor child, the Trustee will exercise the foregoing power in order to supply funds to the guardians adequate to maintain and support the minor child and to protect the guardians, to the extent possible, from suffering any significant financial burden by reason of their appointment. When each beneficiary attains the age of twenty-five (25) years, the Trustee shall pay to him the share to which he would be entitled if the then existing trust fund were distributed to my issue then living, per stirpes, on the hypothesis that my only issue then living are such beneficiary and all younger beneficiaries of this Trust. This trust shall terminate when the youngest beneficiary attains the age of twenty-five (25) years. If this last beneficiary dies before attaining that age, then upon his death Trustee shall distribute the fund to my issue, then living, per stirpes. If, at the end of my accounting period, the current market value of the corpus of the trust does not exceed Five thousand ($5,000.00) dollars, the corpus shall forthwith be paid to the beneficiaries of the trust then living, per stirpes (my children to be the stocks)~ provided that if a distributee is a minor under the Revised Uniform Girls to Minors Act as that Act exists at the execution of this Will and, for the purpose, that Act is incorporated by reference. If this trust is still in existence on the date that is twenty-one (21) years after the death of the last to die of my issue living at my death, Trustee shall divide the fund, per stirpes, among the then beneficiaries of the trust (my children to be the stocks). The share of each beneficiary shall be paid to him, provided the Trustee shall hold, administer the share of any distributee who then is a minor as Custodian in accordance with the provision in the last preceding paragraph. VII. FIDUCIARIES Exe, c, ulo~: I nominate and appoint my daughter, ELIZABETH K. WILSON, to serve as Executor of this Will to serve without bond. If she does not survive me, declines to act, or having qualified, resigns, dies, or is removed, I nominate my daughter, LYNN W. HENSELMAN, to serve as sole Executor to serve without bond Trustee: I nominate my daughter, LYNN W. HENSELMAN as Trustee. My Trustee shall not be required to file an inventory or accountings with the Clerk or the Court having jurisdiction over this Will. If she declines to act, I grant to her the power to Page 3 appoint a Corporate Trustee who shall serve without bond. If she should predecease me, my Executor shall have the power to appoint a Corporate Trustee to serve without bond. I direct that the Trustee receive as compensation for its services as Trustee such amounts as are customarily charged for similar services at the time those services are performed. Powers: I give my fiduciaries, including successor fiduciaries, all the powers contained in Chapter 71 of the Pennsylvania Probate, Estates and Fiduciaries Code at the time of the execution of this Will, and those powers are incorporated by reference. VIII. MISCELLANEOUS Survival Defined: No person shall be deemed to have survived me or to be living at my death if he/she shall die within thirty (30) days after my death. IasuLl2e, fiaed: The term issue means all my lineal descendants, immediate and remote, living on the date the persons who comprise that class must be ascertained. When distribution is to issue, per stirpes, distribution shall be by right of representation, my children to be the stocks. Ado_p_tio_m Where a person has been adopted prior to attaining the age of eighteen (18) years, such person shall be treated for all purposes of this Will as the natural child of the adopting parents. In testimony of which I now sign this Will, in the presence of witnesses whose names will appear below, and request that they witness my signature and attest to the execution of this Will, this /.5'~ day of May, 1998 at 1237 Holly Pike, Carlisle, Cumberland County, Pennsylvania. .._( *, ~'~ ~x-~L )k./! ~,_~2.~?---, ~ .~J. HERBERT WILSON J. HERBERT WILSON, in our presence, signed this instrument. Before he signed it, he declared to us that it was his Will and requested that we act as witnesses to its execution. We believe him to be of sound mind, possessing testamentary capacity, and not subject to undue influence, fraud, or coercion. We now, in his presence, and in the presence of each other, sign below as witnesses, all on this ?S'-7,L day of May, 1998, at 12 ~7~I-Iolly Pi~, (~arlisle, Cumberland County, Pennsylvania. .residing at 1237 Holly Pike, Carlisle, PA 17013. ~2:~ ._~C::~m-.~l~. '~d~siding at 139 Easterly Drive, Mechanicsburg, PA 17055 Page 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND · ss We, Joseph D. Buckley and Susan H. Goodridge, the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will: that he signed willingly and for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time eighteen (18) or more years of age, of sound mind, and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by Joseph D. Buckley and Susan H. Goodridge, witnesses, this !.-C-t/',~ day of May, 19~t8. /~/q N0tarT/Public / K , Notarial Seal aren Kay Buckley, Notary Public South Middleton Twp. Cumberland Co.,unty My Commission Expires June 23, .t001 J' Page 5 CERTIFICATION OF NOTICE UNDER RULE 5.6 a Name of Decedent: Date of Death: Will No.: J. Herbert Wilson a/k/a John Herbert Wilson February 9, 2004 2004-00210 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 13, 2004: Lynn W. Henselman Elizabeth K. Wilson. D.O. Mildred W. Snyder Bound Brook Presbyterian Church 59 Beaver Lodge Road 326 South Sixth Street 102A Middlesex Village 409 Mountain Avenue Stafford, VA 22554 Escanaba, MI 49829 Middlesex, NJ 08846 Bound Brook, NJ 08805 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: none. 1237 Holly P¥1~e - Carlisle, PA 17013 (717) 249-2448 Capacity: Counsel for personal representative ESTATE OF J. HERBERT WILSON · IN THE COURT OF COMMON PLEAS · OF CUMBERLAND COUNTY, PENNSYLVANIA · WILL NO. 2004-00210 · Date of Death - February 9, 2004 RELEASE BY BENEFICIARY ON DISTRIBUTION Pr I, .~~ ~..44r_~~ , representative of Bound Brook esbyterian Church ackno~vledge that Lynn W. Henselman, as the Executor of the Estate of J. Herbert Wilson, deceased, late of South Middleton Township, County of Cumberland, the Commonwealth of Pennsylvania, have fully and satisfactorily accounted to me as beneficiary of specific bequest of $1,000.00 of J. Herbert Wilson, decedent. Now, therefore, in consideration of the sum of $1,000.00, paid to me, the receipt of which is acknowledged, I release, exonerate, and discharge Lynn W. Henselman, as Executor from any and all liability and accountability to me, and I consent that said Executor may have a decree entered discharging them from any and all claims, demands, liability and accountability to me without further accounting. I waive the issue and service on me of a citation to attend the judicial settlement of the accounts of said Executor, or any other proceedings taken by them in the Office of the Register of Wills or in the Orphan's Court of the County of Cumberland, the Commonwealth of Pennsylvania pertaining or relating to the estate of decedent. Bound Brook Presbyterian Church Sworn t~n~d signe~t bg_fore me , this ./~4~ day of ¥~,~4_/t~/ ,2004 C .... fi/Notary Public My Commission Expires: ~9/~4y/dh~ esent~ive ~;? ESTATE OF J. HERBERT WILSON : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : : WILL NO. 2004-00210 : Date of Death - February 9, 2004 RELEASE BY SURVIVING SPOUSE I, June F. Wilson, surviving spouse of J. Herbert Wilson, deceased, late of 94 Ege Drive, Carlisle, County of Cumberland, the Commonwealth of Pennsylvania, in consideration of the sum of one dollar ($1.00) and the terms and conditions of the prenuptial agreement between myself and my late husband, hereby release, exonerate, and discharge Lynn W. Henselman as Executor and the Estate of J. Herbert Wilson from any and all liability and accountability to me, as surviving spouse, and I consent that said Executor may have a decree entered discharging her from any and all claims, demands, liability and accountability to me as surviving spouse without further accounting. I waive the issue and service on me of a citation to attend the judicial settlement of the accounts of said Executor, or any other proceedings taken by them in the Office of the Register of Wills or in the Orphan's Court of the County of Cumberland, the Commonwealth of Pennsylvania pertaining or relating to the estate of decedent. Sworn to and signed before me This 4th day of March , 2004 r/~ v Not'ar~, Pt)ldlic -/ My Commission Expires: l" ' ' NOTARIAL SEAL KAREN KAY BUCKLE'Y, No_tary Public South Middletown Twp., Cumberland Co. My Comm;~,~ion Exl~res Ju~s 23, 2005 Jun¥ F. Wilson : ESTATE OF J. HERBERT WILSON · IN THE COURT OF COMMON PLEAS · OF CUMBERLAND COUNTY, PENNSYLVANIA · WILL NO. 2004-00210 · Date of Death - February 9, 2004 RELEASE BY BENEFICIARY ON DISTRIBUTION I, Mildred W. Snyder, acknowledge that Lynn W. Henselman, as the Executor of the Estate of J. Herbert Wilson, deceased, late of South Middleton Township, County of Cumberland, the Commonwealth of Pennsylvania, have fully and satisfactorily accounted to me as beneficiary of specific bequest of $30,000.00 of J. Herbert Wilson, decedent. Now, therefore, in consideration of the sum of $30,000.00, paid to me, the receipt of which is acknowledged, I release, exonerate, and discharge Lynn W. Henselman, as Executor from any and all liability and accountability to me, and I consent that said Executor may have a decree entered discharging them from any and all claims, demands, liability and accountability to me without further accounting. I waive the issue and service on me of a citation to attend the judicial settlement of the accounts of said Executor, or any other proceedings taken by them in the Office of the Register of Wills or in the Orphan's Court of the County of Cumberland, the Commonwealth of Pennsylvania pertaining or relating to the estate of decedent. Mildred W. Snyder3~ Sworn to and signed before me this 6v~:g day of ~ ! Ngtary Publi7 My Commission Expires: ,2004 (SEAL) NOTARIAL _ KAR .EN KAY BUC_KLEY, ~ I~ ~out~ Middletown ~wp.. Cur~merland Co. My Commic.$ion Ex,res 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 003873 BUCKLEY JOSEPH D 1237 HOLLY PIKE CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 136-18-4353 FILE NUMBER: 2104-021 0 DECEDENT NAME: WILSON J. HERBERT DATE OF PAYMENT: 04/28/2004 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 02/09/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $30,000.00 REMARKS: CHECK# D SEAL TOTAL AMOUNT PAID: $30,000.00 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 Date: 1/04/2006 BUCKLEY JOSEPH D 1237 HOLLY PIKE CARLISLE, PA 17013 RE: Estate of WILSON J HERBERT File Number: 2004-00210 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge \fb THE LAW OFFICES OF JOSEPH D. BUCKLEY 1237 HOLLY PIKE CARLISLE, P A 17013 TELEPHONE (717) 249-2448 FAX (717) 249-4103 January 9, 2006 Glenda Farner Strasbaugh Register of Wills Cumberland County Court House One Courthouse Square Carlisle, PAl 7013 Re: Estate of J. Herbert Wilson Estate No. 2004-00210 \~~' ~; Dear Ms. Strasbaugh: Enclosed please find a completed Status Report under Rule 6.12 for the above mentioned estate. If you have any questions, please call our office. JDB/clb Very sincerely yours, Enclosure ~, I~I' ~ -(~ '~i i~\ ~~ ~J ~ ~ _--!!._."L.._._.. _.J1..~"':i1\T".:.ll1l'_ ~.e..r1_____:;~_-..-,ii___.2 .n_...,...,--.!!-... !J"...~~Jlt3iI(.';;;R' l\Jl.!!. "If'!! J!.lUL:5i tiJiJlI0IUil!.JJ..i1lUi<CJl:!l.aUllJ.U ~..Alj!\!..il.li!lL1.Y STATUS REPORT lJ1'>J"'DER RULE 6.12 Name of Decedent: .J. Herbert Hilson Date of Death: February 9, 2004 Estate No.: 2004-00210 . 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 0 No El 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: July 9, 2006 3. .lithe answer to No.1 is Yes, state the following: a. Did the personal representative file a final accou......J.t with the C6i.ll-t7 Yes 0 No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state fui account informally to the pa."i:ies in interest? Yes 0 No 0 ~... approval of formal or informal the Orphans' Court and may be c. Copies of receipts, releases, joinders accounts may be filed with the Clerk attached to this report. Date: /- If -OJ? o:.-:-r, 1237 Holly Pike, Carlisle, fA 17013 Address (717) 249-2448 Telephone l'Jo. ..-.. "- 1\ ""2-=-....,-.--:(" i L; c.-'-=-s~_....,..,.;...,;..)-~ ,--apaciLy": 1-J ~ v.!. .)Vl..iCi.l .L.....\"..<}'l '.... l,...u...a.l...l \ '-' i;;l l~r'i1::~:=-1 ft-! i~PTsr':i~ 1 ,A.=D7'eSeTltatv=- ~ '-' -.J ___,-,,-,_ _ -'_ .,:.-'v_ '-'____ - '-'r- -- - ' 'w' \f~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 ,- ".:.:...~ Date: 1/25/2007 BUCKLEY JOSEPH D 1237 HOLLY PIKE CARLISLE, PA 17013 RE: Estate of WILSON J HERBERT File Number: 2004-00210 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. ...... ~ ....~... As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. sr~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court ..... ...... cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 1/25/2007 HENSELMAN LYNN W 59 BEAVER LODGE ROAD STAFFORD, VA 22554 RE: Estate of WILSON J HERBERT File Number: 2004-00210 Dear Sir/Madam: ""~ ...... This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugn Clerk of the Orphans' Court ~- .-'0 cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CTJVREPLAND COUNTY, PENNSYL VANIA Name of Decedent: Herbert J. wilson Date of Death: H'ebruary 9, 2004 File Number: 2004-00210 Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration ofthe estate is complete: . . . . . . . . . . . . . . . . . . .. DYes IZI No 2. If the answer-is No, state when the personal representative reasonably believes that the administration will be complete: c.Tuly 29, 2007 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . " DYes DNo b. The separate Orphans' Comi No. (if any) for the personal representative's account is: C. Did the personal representative state an account informally to the parties in interest? ............................... DYes DNa d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court a be attached to this repmi. Dale 01/29/2007 DPersonal Representative Joseph D. ~uckley, Esquire Name of Person Filing this Form 1237 Holly Pike A ddres s Carlisle, VA 17013 (717) 249-2448 ;' L Telephone I i. Form RrV-JO ,.~v.--iO".'J3XJ6"- J Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (71 7) 240 - 6345 Date: 1/15/2008 "~ ':~-- .') BUCKLEY JOSEPH D 1237 HOLLY PIKE - ~ ( -, ..-', -, CARLISLE, PA 17013 ) t" ''', . .1;.-' i 1 en RE: Estate of WILSON J HERBERT File Number: 2004-00210 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2008 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, If (" u/;/ ~.. ~ .,,/ . /) /f:f:,i I. . __ ~ \.t:a~';;l,tit. t. t ~1t--LJ J:t&a~fl:.'l Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlislel PA 17013 Phone: (717) 240-6345 Date: 1/15/2008 59 BEAVER LODGE ROAD STAFFORD I VA 22554 HENSELMAN LYNN W j ". " (J1 C0 " RE: Estate of WILSON J HERBERT File Number: 2004-00210 (J; Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES I NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July 11 19921 the personal representative or his counsell within two (2) years of the decedent's deathl shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing lS due by: 2/09/2008 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report I please disregard this notice. SincerelYI t. V L.,f~ I' IZm J' l ......:_." ! l"vilf;:~")'{."i(.Li/J.;.I/ /1..p,!;r"':'d.:tf2."j[L/~;IU..'t. . /~'tt:4...,.,., ;r"-.i /1 ~.. i Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND CO"lJNTY, PENNSYLVANIA Name of Decedent: John Herbert Wilson a/k/a J. Herbert Wilson Date of Death: February 9, 2004 File Number: 2004-00210 Pursuant to Fa. O.c. Rule 6.12, I report the following with respect to completion of the admilllstration of the above-captioned estate: 1. State whether admimstration of the estate is complete: . . . . DYes 0 No 2 If the answer is No, state when the personal representative reasonably believes that the administration will be complete: August 1, 2008 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . . . DYes 0 No b. The separate Orphans' COUli No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... DYes DNa d. Copies ofreceipts, releases, joinders and appr als of fonnal or informal accounts may be filed with the Clerk of the Orphans' Cour may be attached to tl is report. Date January 21, 2008 Name of PerSOIl Filing this Form Joseph D. Buckley, Esquire 1237 Holly Pike .Aa'dress L! :21 !!d ('? ~. ,,-"v.. n ...ii....~" uL,}!,j Carlisle, PA 17013 (717) 249-2448 Tdepho1Je Form RW-In 1-"''' In r1 1\.1: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE :~':r!-i>- :--IIrDiT1'I~E--O'F'INHERITANCE TAX , ' '~~P'RAI.SEMENt/' It(LOWANCE OR DISALLOWANCE _.,j~LDE~.~CnONS AND ASSESSMENT OF TAX DATE 04-28-2008 ESTATE OF WILSON J H DATE OF DEATH 02-09-2004 FILE NUMBER 21 04-0210 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 06-27-2008 ( See reverse side under Objections) Amount Remittedl I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- ------------------------------------------------------------------------------------------- REV-1547 EX AFP C03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WILSON J H FILE NO. 21 04-0210 ACN 101 DATE 04-28-2008 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 1712B-0601 2008 APR 28 PM I: 13 JOSEPH D BUCKLEY J D BUCKLEY LAW OFCS 1237 HOLLY PIKE CARLISLE "'LEt'.'! n:=:. l, J!,\ v. GROWrH,''':' r'nl lOT if I I,HI'! ,...) \.,.' <.,ji)1 II CU,<,--, ~, PA 17013 REV-1547 EX AFP (06-05) TAX RETURN WAS: (X) ACCEPTED AS F I LED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Pa~tne~ship Inte~est (Schedule C) 4. Mo~tgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Pe~sonal P~ope~ty (Schedule E) 6. Jointly Owned P~ope~ty (Schedule F) 7. T~ansfe~s (Schedule G) B. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Fune~al Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mo~tgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. 13. 14. Net Value of Tax Retu~n (I) (2) (3) (4) (5) (6) (7) .00 359,072.42 .00 .00 140,732.26 .00 292,431.00 (B) (9) ClO) 30,666.31 70,056.96 Cll) Cl2) Cl3) Cl4) Cha~itable/Gove~nmental Bequests; Non-elected 9113 T~usts (Schedule J) Net Value of Estate Subject to Tax NOTE: NOTE: To insu~e p~ope~ c~edit to you~ account. submit the uppe~ po~tion of this fo~m with you~ tax payment. 792,236.00 ]OO.7~3.DO 691,513.00 293,431.00 398,082.00 If an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of !hh returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal ~ate 16. Amount of Line 14 taxable at Lineal/Class A ~ate 17. Amount of Line 14 at Sibling ~ate (17) lB. Amount of Line 14 taxable at Collate~al/Class B ~ate (lB) 19. P~incipal Tax Due TAX CREDITS' .00 X 00 .00 368,082.00 X 045 = 16,563.69 30,000.00 X 12 = 3,600.00 .00 X 15 = .00 (19)= 20,163.69 Cl5) Cl6) PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-28-2004 CD003873 1,008.18 30,000.00 TOTAL TAX CREDIT 31,008.18 BALANCE OF TAX DUE ID,844.49CR INTEREST AND PEN. .00 TOTAL DUE 10,844.49CR * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE D A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES _ _,.~NHERITANCE TAX INHERITANCE TAX DIVISION ~: ,.S TAT E M E N T O F AC C O U N T PO BOX 280601 HARRISBURG PA 17128-0601 JOSEPH D BUCKLEY ~r~y- I~;^Y tom..: lc J D BUCKLEY LAW OFC3~• 1237 HOLLY PIKE CARLISLE PA 17013 REV-1607 EX AFP C03-05) DATE 06-09-2008 ESTATE OF WILSON J H DATE OF DEATH 02-09-2004 FILE NUMBER 21 04-0210 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~-'~ RETAIN LOWER PORTION FOR YOUR RECORDS E-- --------------------------------------------------------------------------- REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~~~ ESTATE OF WILSON J H FILE N0. 21 04-0210 ACN 101 DATE 06-09-2008 THIS STS\TEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OIF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-21-2008 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 04-28••2004 CD003873 1,008.18 30,000.00 05-20-•2008 REFUND .00 10,844.49- TOTAL TAX CREDIT BALANCE OF TAX DUE 20,163.69 20,163.69 .00 ~ INTEREST AND PEN. ~ .00 ~ * IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE I .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU M/\Y BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUrTrnuc ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-'345 f,~ ~~ __:r_~ -- . -~? c - - Date: 1/14/2009 ~' ~- -r, _,~; ~ r BUCKLEY JOSEPH D ~-; ::. 1237 HOLLY PIKE --?~~~ -~ ~:~ CARLISLE, PA 17013 - _, w:~ RE: Estate of WILSON J HERBERT File Number: 2004-00210 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 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 Gills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh {~ Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 1/14/2009 HENSELMAN LYNN W 59 BEAVER LODGE ROAD STAFFORD, VA 22554 RE: Estate of WILSON J HERBERT File Number: 2004-00210 Dear Sir/Madam: c~ r.~ . r, , _- ~ _ r - z _, ~ ,> ~- .~. _ ,~l, ~ - . -` r --~ ~_ This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET N0. 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 G~~ills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, r'' ' ~''` .~ ~----- i' ~J,~J~ 1 ~~ l~ ~ ~i ~J,, ~ ,+ : ~ 'Pit..... ~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: J. Herbert Wilson Date of Death: 02/09/2004 File Number: 2004-00210 Pursuant to Pa. O.C. Rule 6.12, 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: April 1, 2009 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ........ Yes _ No b. The separate Orphan's 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 filed with the Clerk of the Orphan's Cour s of formal or informal accounts may be / be attached to this report. F. 4; , :)' y - I J ~J ,.i ... _: ~~s o'`~W ~ r~~~~G t`. ~; ~ Ct;~; Personal Representative X Counsel Joseph D. Buckley, Esquire Name of Person Filing this Form 1237 Holly Pike Address Carlisle, PA 17013 171249-2448 Telephone 1 FAMILY AGREEMENT This Agreement entered into this 6th day of October, 2008, by and between Lynn W. Henselman in her capacity as Executrix under the will dated May 15, 1998, of John Herbert Wilson, Deceased, and Lynn W. Henselman and Elizabeth K. Wilso residuary legatees of the estate. For purposes of this agreement, when she is referr~~ in hem fiduciary capacity, the term "Executrix" will be used and, when she is refer b ~ ~~n he individual capacities, she will be referred to by her first and last names. rr::? 7~ m t r:~ ___ ~ ~ v ~~ BACKGROUND `~~~~~,:~ 1, ~~' ~ '7" 1 ~...~ 1. John Herbert Wilson ("Decedent") died on February 9, 2004, a refit of 9~ Ege Drive, Carlisle (South Middleton Township), Cumberland County, PA, leaving a wi dated January 26, 2000. 2. Decedent's will was admitted to probate by the Register of Wills of Cumberland County on March 2, 2004, and letters testamentary were issued to Lynn W. Henselman as Executrix. 3. Decedent's and his spouse, June Wilson, a second marriage for both parties, had entered into apre-marital agreement waiving all rights to each other's estates and said June Wilson did sign an additional release reaffirming this agreement and releasing any interest she may have had to any share of the estate; however, Decedent had placed some of his assets into a trust giving life benefits to income to his spouse, June Wilson, and she chose to renounce and disclaim a portion of the assets to transfer to Decedent's two children, Lynn W. Henselman and Elizabeth K. Wilson, while reserving a portion for her lifetime benefit. 4. In his will, Decedent named his children: Lynn W. Henselman and Elizabeth K. Wilson, as the residuary legatees. 5. The Executrix advertised the grant of letters Testamentary, prepared and filed an Inventory and Appraisement of Decedent's property and prepared and filed a Pennsylvania Inheritance Tax Return and federal and state income tax returns and paid the appropriate taxes thereon. 6. The Executrix has paid all the general legatees and all the taxes, debts and expenses of the estate known to them, and they have no knowledge of any unpaid claims, absolute or contingent, which may be asserted against the estate nor do they have any reason to believe there are any such claims. 8. The Executrix has distributed the net assets of the estate to Lynn W. Henselman and Elizabeth K. Wilson the residuary legatees named in the will. 9. A statement reflecting all estate receipts, disbursements and distributions are _~ ~;~ .~ .:..~, ~„ F .J `.,,....1 ~.~ :~ _. _.. , r._- ~..r.,.t ~ y,.:, ~-t .:. x -~ -""T'1 ~~ r' ..\ annexed here to as Exhibit A. 10. The Executrix, Lynn W. Henselman and Elizabeth K. Wilson all desire that this Family Agreement make unnecessary the filing an accounting in the Orphans' Court Division of the Court of Common Pleas of Cumberland County. NOW THEREFORE, intending to be legally bound, the parties do hereby: 1. Waive the filing of an account of the administration of the estate in any court; 2. Declare that the undersigned has examined the attached informal account (and statement/schedule of distribution) of the Executrix; finds it to be true and correct in all particulars; accept and approve it with the same force and effect as if it had been prepared and filed with, audited, adjudicated and confirmed absolutely by a court of competent jurisdiction; and as if the balance of principal and income had been awarded by the Court in accordance with the statement/schedule of distribution; 3. Warrant that the beneficiaries named in the informal account and statement/schedule of distribution are the sole remaining parties in interest in the estate and entitled to receive the entire distribution thereof in accordance with the informal account and Statement/Schedule of Distribution; 4. Warrant that the undersigned know of no outstanding and unsatisfied claims against the estate; 5. Approve the distribution of the balance of principal and income shown in the informal account and statement/schedule of distribution to the persons set forth therein; 6. Absolutely and irrevocably release and discharge the Executrix, and her heirs, personal representatives, successors and assigns of and from any and all actions, liabilities, claims and demands relating in any way to his administration of the estate and distribution in accordance with the informal account and statement/schedule of distribution and without a court accounting and adjudication; 7. Agree to refund to the Executrix any amount of the undersigned's distribution which exceeds the amount to which the undersigned are entitled as the Executrix shall determine; 8. Agree to indemnify and hold harmless, the Executrix, and her heirs, personal representatives, successors and assigns, from and against any claims, liabilities, loss or expense (including costs and counsel fees) arising from any cause whatsoever, which the Executrix may incur as a result of the administration of the estate and its distribution in accordance with this agreement including, but not limited to, any liability for any federal estate taxes, Pennsylvania Inheritance tax or any other death taxes, and any federal or Pennsylvania income taxes, and Pennsylvania personal property taxes, together with any interest and costs incidental thereto, relating in any way to the estate and also including, 2 but not limited to, any assets received or payments or distributions made by reason of any negligence or mistake of law or fact. IN WITNESS WHEREOF the parties set their respective hands and seals the first day written above. ~.= Lynn W. Henselman (Beneficiary) ~~=~ c......_._ Elizabeth K. Wilson (Beneficiary) Lynn W. Henselman (Executrix) 3 Witness INFORMAL ACCOUNTING ESTATE OF JOHN HERBERT WILSON RECEIPTS OF PRINCIPAL C= Fiduciary Acquisition Value Cash or Certificates of Deposit• Orrstown Bank (Savings) 120,549.37 Orrstown Bank (checking) 18,182.89 Stocks and Bonds Wachovia Securities Account 317,880.42 U.S. Savings Bonds 41,192.00 Other: Trust - J. Herbert Wilson Trust #3 U/A/D 3-07-1997* Total Inventory ~ 497,804.68 Receipts Subsequent to Inventory Wachovia Securities (dividend check) 2 000.00 Refund PA. Inheritance Tax 10,844.49 Total Subsequent Receipts ~ 12,844.49 TOTAL RECEIPTS OF PRINCIPAL X510,649.17 DISBURSEMENTS OF PRINCIPAL Debts of Decedent 04/01/04 Wachovia (payoff loan)* 69,911.24 04/01 /04 Wachovia (margin interest)* 420.01 06/30/04 Masland Associates (paid by family) 0.00 06/30/04 Central Penn Medical (paid by family) 0.00 i Funeral Expenses 05/30/04 Memorial services and interment paid by famil 0 08/15/04 Headstone paid by family y .00 0.00 Administration Expenses 05/03/04 Register of Wills (Inheritance tax) 30 000.00 10/06/08 J. Buckley costs Register of Wills (Probate fees) 347.00 CC Law Journal 75.00 Register of Wills (release) 12.00 The Sentinel (Legal adv) 136.31 Register of Wills (tax return) 15.00 Additional Probate fee 105.00 Register of Wills (agreement) 15.00 Postage 3 8.74 744.05 Fees & Commissions 744.05 04/21 /04 Joseph D. Buckley (partial fee) 6,000.00 07/28/05 Joseph D. Buckley (partial fee) 5,000.00 10/06/08 Joseph D. Buckley (partial fee) 4,000.00 15,000.00 Total debts, expenses and fees $116,075.30 Distributions to Beneficiary 03/12/04 Mildred W. Snyder (bequest) 30 000 00 03/12/04 Bound Brook Presbyterian Church (bequest) , . 1 000 00 05/03/04 Lynn W. Henselman (partial distribution) , . 34 000 00 05/30/04 Elizabeth K. Wilson (partial distribution) . 34000 00 06/30/04 Lynn W. Henselman (partial distribution) . 20 000 00 06/30/04 Elizabeth K. Wilson (partial distribution) , . 20,000.00 07/01 /04 Lynn W. Henselman and Elizabeth K. Wilson Transfer of trust assets 247,549.11 Total Distributions $386,549.11 TOTAL DISBURSEMENTS $502,624.41 ii TOTAL. RECEIPTS OF PRINCIPAL 510,649.17 Less TOTAL DISBURSEMENTS 502,624.41 PRINCIPAL BALANCE ON HAND 8,025.76 Final Distributions to Beneficiaries 10/06/08 Lynn W. Henselman 4,012.38 10/06/08 Elizabeth K. Wilson 4,012.38 Total 8,025.76 BALANCE REMAINING AFTER FINAL DISTRIBUTION 0.00 *This account originally had $317,880.42 in value at the time of Decedent's death; however, there were two deductions made from the account, the first a margin interest charge of $420.01 and the second a payoff of a loan against the account taken by Decedent during his lifetime in the amount of $69,911.24. * * This trust is not a part of the estate and is placed herein for information purposes only as it was listed in the PA Inheritance Tax Return as required. The value of this portion of the trust at that time of Decedent's passing was $292,431.01. iii COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX INHERITANCE TAX DIVISION PO Box zao6ol STATEMENT OF ACCOUNT ~ HARRISBURG PA 17128-0601 REV-1607 EX AFP C03-05) DATE 06-09-2008 ESTATE OF WILSON J H DATE OF DEATH 02-09-2004 FILE NUMBER 21 04-0210 JOSEPH D BUCKLEY COUNTY CUMBERLAND J D BUCKLEY LAW OFCS ACN 101 1237 HOLLY PIKE Amount Remitted CARLISLE PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE *~- RETAIN LOWER PORTION FOR YOUR RECORDS E~-~ ------------------------------ ----------------------- REV-1607 EX AFP (03-05) ~** """""""'""" INHERITANCE TAX STATEMENT OF ACCOUNT ~~* ESTATE OF WILSON J H FILE N0. 21 04-0210 ACN 101 DATE 06-09-2008 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-21-2008 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) 04-28-2004 CD003873 1,008.18 05-20-2008 REFUND .00 * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. 20,163.69 AMOUNT PAID 30,000.00 10,844.49- TOTAL TAX CREDIT 20,163.69 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. If payment if for a RESIDENT DECEDENT, make check or money order payable to: Register of Wills, Agent If payment if for a NON-RESIDENT DECEDENT, make check or money order payable to: Commonwealth of Pennsylvania Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the appropriate county, or the issuance of an Orphan's Court citation. REFUND CCR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" CREV-1313). Applications are available online at www revenue.state.pa.us, any Register of Wills or Revenue District Office, or from the Department's 24-hour answering service for forms orders: 1-800-362-2050; services for taxpayers with special hearing and/or speaking needs: 1-800-447-3020 (TT only). REPLY T0: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.O. Box 280601, Harrisburg, PA 17128-0601, Phone C717) 787-6505. DISCOUNT: If any tax due is paid within three C3) calendar months after the decedent's death, a five percent C5%) discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine C9) months and one C1) 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 C6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar Year to calendar year with that rate announced by the PA Depart^!en± of Revenue. Rates for nears 1982 through 1999 can be found in the Pennsylvania Resident Instruction Booklet, CREV-1501), the Pennsylvania Non-resident Instruction BookletCREV-1736) or on the Pennsylvania Dept. of Revenue web site www.revenue.state.pa.us. The applicable interest rates for 2000 through 2008 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year RR=t~ Factor _ ~, ~- ~~~ 2000 8 .000219 2001 9% .000247 2002 6% .000164 2003 5% .000137 2004 4% .000110 2005 5% .000137 2006 7% .000192 2007 8% .000219 2008 7% .000192 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen C15) 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. PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND : ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: MAKC;H 26, APRIL 2, 9, 2004 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. Wilson, J. Herbert. a/k/a Joha Her- bert Wilson, decd. Late of South Middleton Town- ship. Executrix: Lynn W. Henselman, c/o The Law Offices of Joseph D. Buckley, 1237 Holly Pike, Car- lisle, PA 17013, (717) 249-2448. Attorney: Joseph D. Buckley, Es- quire, 1237 Holly Plke, Carlisle, PA 17013. _____ sa Marie Coyne, ditor S ORN TO AND SUBSCRIBED before me this 9 day of APRIL 2004 rl~r~'~. sEAI. ~ LOIS E. SNYDER, Notary Public Carlisle Boro, Cumberland County My Commission Expires March 5, 2005 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland. Rich Canazaro, Internet Director of THE SENTINEL, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13th, 1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following dates, viz Copy of Notice of Publication i..~tters Testamentary an tha Estate ;of ,~ ttL=Ri$ERT` 1Nf~.80Na AAt/1~ 1l~I M~,RBii~1~iT • , lat9 of South Mitld "rowru-, C dec~eased, have been Qranted t~ the ~ytY; p~, reigned. Atl p ~ ~s t0 "be E !o said. iMNi ~~t~ment ~+R+•~a~y~, havin d l than. g lt ms w prosenf ~larf for se ~a: i.yhn w. Hensefman c% The Law ptNcss of D. Buc~tey 2~7` Holiy"PHce Ca le' PA 1 T013 7T7) 249-2449 or to: Joseph D. Budde~y, Esquire 1237 Notiy Pircce Ca , ~1 Y7013 The Sentinel March 17, 24, 31 2004 Affiant further deposes that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of public i'_~ ____ Sworn to a subscribed before me this 31 th day of March , 1~ooa_ Notary Public My commission expires: ~~S1~~JN M. SHUCHART, Nc~a p Carlisle, Cumberland Countyubi~~ a~ my Commission Exp;res Nw. 2r3, 2~?0; March 31, 2004 a ~ ~-F i ~a REGISTER OF ~tiiLLS OF Cumberland COL~vTY, PEN?vSYLtiANIA Name ofDecedent:John Herbert Wilson - Date o: Death: February 9, 2004 FileNu~??ber: 2004 00210 D...•,.....,.r r., D., n (~ D, 1 ~ 1 7 T •~.•+n,-t tl.e f.-~1101zrina zzrith recpec~.t to C1l1Mpl~t1(11'1 of the adl?lllll>tl'at101? Of 1 LLL JIl:llll LV L 4. V.\.'• L\N1V V.1~, l lvt./V1~ - ".7 • the above-captioned estate: [~ Yes No 1. State whether administration of the estate is complete:....... • • • • • • • • • • • 2. If the aiiswe>"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 ~N'o b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account - , _ ITeS []No informally to the parties in interest? ..... Family • Agreement• d. Copies of receipts, releases, joinders and approv of formal or informal accounts maybe filed with the Clerlc of the Orphans' Court army be attached to this ~port• Dnte ~ - t 'r ~ c.*_ N d ~ C~y ~,- r ' ~ ~ ~ ~ ~ ~, `-~ ~~ ~ G. 0~~; :? +... ~ ~ ~ ,,.r.:.., ,~ w Ls =~ t y..± .. ~ c~ Person Piling th+~ ryrn, v ~]Personal/Representative ~] Counse] Jose h Nnme of Person Filing this Form 1237 Holly Pike Address Carlisle, .PA 17013 71 7- - Tefephone Cumberland County - Register Of Wil:1s One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-63?~~^~~~ ~"`~"'- "'~ .. L _ _'~~f ~~ `. 1 L• ~ ~ L I• V i i .... _ Date: 1/27/2010 HENSELMAN LYNN W 59 BEAVER LODGE ROAD STAFFORD, VA 22554 RE: Estate of WILSON J HERBERT File Number: 2004-00210 Dear Sir/Madam: 2010 JA~d 27 ~~~ 10~ 47 CLERK C°r This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2010 Please feel free to contact this office with any quE=stions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Cour cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 ,, __ Phone: (717) 240-6345 - ~' l ''~ "` ~~ ~... ~ .. 206Q J~~I 27 Q~1 ~0~ ~ 7 Date: 1/27/2010 BUCKLEY JOSEPH D 1237 HOLLY PIKE CARLISLE, PA 17013 RE: Estate of WILSON J HERBERT File Number: 2004-00210 Dear Sir/Madam: ORPFI~~J'_j ~~~~U~T Ct) ~~ ,,~~, n a This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on t:he below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dyi:zg on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with ~~he Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2010 Please feel free to contact this office with any que=_stions you may have. If you have already filed your Status Report; please disregard this notice. Sincerely, Gle a arner- ras aug Clerk of the Orphans' Cour cc: File Personal Representative(s)