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HomeMy WebLinkAbout04-0371 Estate of also known as PETITION FOR PROBATE and GRANT OF LETTERS Mervin M. Chronister No. 21-04- .l:~? / To: ~:~ Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania cial Security No. 189-09-4745 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the executors named in the last will of the above decedent, dated March 21t__1980 and codicil(s) dated N/A (state relevenat circumstances, e.g. renunciati~etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with the Decedent's last family or principal r~sidence at North Middleton Township 801 North Hanover Street (list street, number and municipality) Decedent, then 86 years of age, died at Except as follows, ~ not marry, was not d~vorced and dtd not have a child ~ om or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: No Exceptions Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (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: $ $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary thereon. , cy x,q t~nronister '861 Wes't Louther Street Carlisle~ PA 17013 "IS81 Newviile ~0'~d ' .Carlisl% PA 17013 OATH OF PERSONAL REPRSENTATIVE COMMONWEATLH OF PENNSYLVANIA COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate accord law. Sworn to or affirmed and subscribed ~-~ before me this/~ day of~/c../ ?'~/d'~t '~'~--~~~~-'" .Percy'l][. Chronister -'- 'N°~jn~an h. ~2h r~//id ter Register of Wills of Cumberland County, Pennsylvania OATH OF NON-SUBSCRIBING WITNESS Estateof VV',~-~:~ ~. C ~~-~ Number ~/-,O'/' ~/ also known as , Deceased (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that (I am/we are) familiar with the signature of YlA.~;-v,'.~ 14,'~. C [-,.co,,.,'~t'~ .r-. , testat~ c- of (~".o '''~ +k~. ,-,~,,.,.,.'~.:-- ............... , ,u wi;.~u~se~ i.u) the will/codicil presented herewith and that '~,-~ ~ the handwriting of of ~ .~ knowledge and belief. Sworn to or affirmed and subscribed before me this //~7'/-/ day of Sworn to or a~irmed and subscribed befo~f~me thie- '~ day of believes the signature on the will/codicil is in to the best (Signature) For the Register ,20 (Signature) (Signature) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NONSUBSCRIBING WITNESS Robert G. Frey, ................................. a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that he is familiar with the signature of Mervin M. Chronister, the Testator to the will presented herewith and that he believes the signature on the will is in the handwriting of Mervin M. Chronister to the best of my knowledge and belief. ~~ Sworn to or affirmed and subscribed before ~ me this /CT/tT// day of ' ' - April, 2~004 , . Robert G. Frey ~ ~ - - ( ,~ . ~ 5 South Hanover Street, Carlisle, PA 17013 ~xegtster 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 10326585 No. Local Registrar APR 1 2 200 Date TYPEm'RINT BLACK INK H10~.143 Rev. 2/87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS ~ CERTIFICATE OF DEATH Mervin ,~ John Chronister Annie Haverstock ~. Norm [stet INFORMANTS MNUNG AOORESS (S~me~ C~/~. $~t~. ~p C(x~) O~(S~) ~,,.April 15, 2004 ACTIN~ A~ SUCH LICENSE NUMBER PLACE OF DISPOSfflON. Name ~ .~ C .mmMmy Cumberland 9~lley 219 N. EDtCA : LOCATION (SltsM, C~,'T~,m, State) OCCURRED. LAST WILL AND TESTAMENT OF MERVIN M. CHRONISTER MERVIN M. CHRONISTER, OF 1319 North West Street in the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executors to pay all or my just debts and funeral expenses as soon after my death as may be found convenient to do so. 2. and mixed, All the rest, residue and remainder of my estate, real, personal and wheresoever the same may be situate, I give, devise and bequeath in equal shares to such of my eight (8) children as may survive me by a period of Ninety (90) days, the share any deceased child would have received to pass to such of his issue per stirpes as shall survive me by a period of Ninety (90) days. I am the father of the following eight (8) children: Betty Lou Walters, Percy K. Chronister, Norman L. Chronister, James Michael Chronister, Nora Ann Coyle, Angle, and Charles M. Chronister. 3. I hereby nominate, K. Chronister and Norman L. Peggy V. Wagner, Connie Sue constitute and appoint my two (2) sons, Percy Chronister, or either of them, as Co-Executors of this my Last Will and Testament and further direct that neither of them shall be required to post any bond to secure the faithful performance of his duties in the Commonwealth 0f Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last ~,rill and Testament written on two pages this 21st day of March, 1980. Page 1 of 2 Pages Signed, sealed, published, and declared by MERVIN M. CHRONISTER, the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Page 2 of 2 Pages CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Mervin M. Chronister Date of Death: April 11, 2004 Will No. Admin. No. 21-04-0371 To the Register: I certify that notice of (beneficial 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: April 20, 2004. Name Betty L. Walters Percy K. Chronister Norman L. Chronister Michelle Shannon Nora Ann Hill James M. Chronister Peggy V. Wagner Connie S. Angle Address 3320 Trindle Road, Camp Hill, PA 17011 861 West Louther Street, Carlisle, PA 17013 1481 Newville Road, Carlisle, PA 17013 113 S. Mansfield Blvd., Cherry Hill, NJ 08034 203 Fairfield Street, Apt #4, Newville, PA 17241 786 Creek Road, Carlisle, PA 17013 101 Wood Pointe Court, Lexington, NC 27295-9245 177 Skylight Drive, Hanover, PA 17331 Notice has now been given to all persons entitled thereto under Rule 5.6)a) except NO EXCEPTIONS Date: 4/23/04 Name: Address: Signature Robert G. Frey 5 South Hanover Street Carlisle, Pennsylvania 17013 Capacity: Personal Representative X Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-O601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 004106 FREY ROBERT G 5 S HANOVER STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 189-09-4745 FILE NUMBER: 2104-0371 DECEDENT NAME: CHRONISTER MERVIN M DATE OF PAYMENT: 07/01/2004 POSTMARK DATE: 07/01/2004 COUNTY: CUMBERLAND DATE OF DEATH: 04/1 1/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $1,350.00 REMARKS: TOTAL AMOUNT PAID: ,350.00 SEAL CHECK# 108 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS REV.1S00 EJ( {6-ll0} f- Z W o W U W o w "'"' ~~Ul ()II::~ WC.U :1:00 Ull::-l C.1IJ C. <( I- Z W C Z o C. Ul W II:: II:: o () z o ~ ..J ::> I:: D- oe( U w ~ z o ~ ~ ::l a. :E o u ~ INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE " OEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 '\ OFFICIAL ISE ONLY I FILE NUMBER 2..L-~~ COUNTY CODE YEAR 3L1-_ NUMBER DECEqENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) C k -r O~\ " ~ t- c..J..... M --U' ,..,"" V\ \1\1\.. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD.YEAR) It t7 6 :5 /?I (IF APPLICABLE SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER '~Ct - oq I..j 7 S-- THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER F WILLS SOCIAL SECURITY NUMBER ~ 1. Original Retum D 4. Limited Estate D 6. Decedent Died Teslate (Allach copy of Will) o 9. Litigation Proceeds Received o 2. Supplemental Retum o 4a. Future Interest Compromise (dale 01 dealh after 12-12.a2) o 7. Decedent Maintained a Living Trusl (Allach alllY 01 Trusl) D 10. Spousal Poverty Credit (dale 01 death belween 12.31-91 and 1-1-95) o 3. Remainder Relum (dal of death priOllo 12-13-82) D 5. Federal Estate Tax R m Required 6 8. Total Number of Safe D 11. Election 10 tax under 1. Real Estate (Schedule A) 2. Slocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnef5hip or SoJe-Proprielorship 4. Mortgages & Notes Receivable (Schedule 0) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-VIVos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (tolal Lines 1-7) 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 B minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has nol been made (Schedule J) 5't3'ir 14. Net Value Subject to Tax (Line 12 minus Line 13) (1) (2) (3) (4) (5) S 2.. 1& 7 I (6) (7) (B) (9) (10) I. r; 2- C( I (11) (12) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPUCABLE RATES 15. Amount of Une 14 taxable at the spousal lax rate, or Iransfers under See. 9116 (a)(12) 16. Amount of Une 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 1~. Amount of Line 14 taxable at collateral rate 19. Tax Due 31 I x .0 _ (15) x.0~16) 0 x .12 (17) x .15 (1B) (19) '3, 3 ?;- 20.0 ":.'" :,,:' ':' "i:,:"",,','?'>tT>>' BE:SURETO ANSWER'ALL"QUESTioNS",ON"REVSRSe:SujE"AND RECHECK MATH < <, CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT :,.~,=..f.~..'.':''' ,...... ..'~~.... .' o d ece ent s ComPlete Address: I STREET ADDRESS CITY ISTATE IZIP Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) I, 4( 6 . o .J 3S-o , ~~ Total Credits (A + B + C ) (2) /1 4 I Y' .e 3. InteresVPenalty if applicable D. Interest E. Penalty TotallnteresVPenalty ( D + E ) (3) 4. If Une 2 Is greater than Line 1 + Line 3, enter the difference. This Is the OVERPAYMENT. Check box on Page 1 Une 20 to 'request a refund (4) 5. If line 1 + line 3 Is greater than line 2, enter the difference. This Is the TAX DUE. (5) A. Enter the interest on the lax due. (SA) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT o 6- .. o o Yes o D o .......0 o 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 IF THE AN~:::~~ :;fi:J~d::~~~:n~U~S~~N~ I~ ~E~, ~~U 'M~S~ ~~M~L~ ~~H~D~~E ~ ~N~ ~I~E ~ ~~ P~~T ~THE R~N. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 0I ~ b. retain the right to designate who shall use the property transferred or its income; 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; . . . . . . . . . . . . . . . . . . . . . . .. c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . 2. d. receive the promise for life of either payments, benefits or care? . . . . . . . . . . . If death occurred after December 12.1982,dld decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g] ~ 3. A DATE I () i C 0 S- 5- S"H.J~ \-\.~J V' S '- J C*,-,/t's/e fA 1(013 j For dales of death on or after July 1, 1994 and before January 1, 1995, the tax rate Imposed on the net value of transfers 10 or for the use of the surviving spouse Is 3% [72 P.S. Section 9116 (a)(l.l)(fll. For dales of deeth on or after January 1, 1995, the tax rate imposed on U The stalute does not exempt e transfer to a surviving spouse from tax, an the surviving spouse is the only beneficiary. The lax rate imposed on the nel value of transfers to or for the use of the dl . bvE: 10, CJ.-') ~\ 5D'00, d1PD dO DC) SJ LU>--"C . _. .",alll.3)].A sibling I. defined, under Section 9102, as an ing spouse Is 0% [72 P.S. Sacllon 9116 (a)(l.l)(i1)]. ,nd filing e tex return ere still appllc8ble even if For dale. of deeth on or after July 1, 2000: Tha lax rale imposed on the nel value of transfers from a deceased child h or a stepparent of the child Is 0%[72 P,S. Section 9116(a)(1.2)]. 1e use of a naturel parent, an adopUve parant, \ In 72 P.S. Section 9116(1.2) [72 P.S. Section 9116(a)(1)]. The lax rata imposed on the net value of transfers to or for the use of (he de Individual who has at least one parent in common wilh !he decedent, whethe. _,_ or edoption. 217 REV-1500 EX (6-00) COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE 11NL Y FILE NUMBER 21-04-371 w .... ~.. "'a:'" Uo.U woo xa:.... uR:1Il 0( COUNIY CODE YEAR SOCIAL SECURITY NUMBER DECEDENrs NAME (LAST, FIRST, AND MIDDLE INITIAl) ~ Mervin M. Chronister w DATE OF DEATH ~YEAR) DATE OF BIRTH (M\1-DD-YEAR) Q ~ 4/11/2004 6/3/1917 ~ (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 189-09-4745 REGISTER OF SOCIAL SECURITY NUMBER ~ 1. Original Return o 4. Limited Estate ~ 6. Decedent Died Testate (Attach copy of WilQ o 9. Litigation Proceeds ReceNed o 2. Supplemental Return 04a. Future Inta.- Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy of Trust) 010. Spousal PoIIeflyCrMl(_or__12-31-91 and 1-1-95) 03. Remai.-RoI1.m(_or 05. Federal Estate Tax Retu I- Z w Q Z o G.. l/l W It: It: o o NAME Robert G. Fre FIRM NAME (If Applicable) 5 South Hanover Street TELEPHONE NUMBER 717-243-5838 COMPLETE MAILING ADDRESS 5 South Hanover Street Carlisle, Pennsylvania 17013 OFFICIAL SE ONLY 1. Real Estate (Schedule A) (1) NONE (2) NONE (3) NONE (4) NONE 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 32,967 z o j: <C ....I :;) l- ii: <C o W II: 6. Jointly Owned Property (Schedule F) (6) NONE Dseparate Billing Requested 7. Inter-VIVOS Transfer & Miscellaneous Non-Probate Property (Schedule G or L) (7) NONE 8. TOTAL GROSS ASSETS (total Lines 1-7) (8) 32 967 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debls of Decedent, Mortgage Liabilities, & Liens (Schedule I) :10) NONE 1,629 11. TOTAL DEDUCTIONS (total Lines 9 & 10) (11) (12) 1629 31 338 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) (13) (14) 31 338 14. Net Value Subject to Tax (line 12 minus Line 13) 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) Z - 0 j: 16. Amount of Line 14 taxable at lineal rate 31,338 x .045 (16) ~ :;) G.. ::t 17. Amount of Line 14 taxable at sibling rate X .12 (17) 0 0 ~ 18. Amount of Line 14 taxable at collateral rate X .15 (18) I- 19. Tax Due (19) 1410 1410 20.@ _=---~---'-'::~~d~--O:-~;;;;:::-~~~::=::""'~=-,=,--- _ - -~ ~ - ~-~ - - - - - - - - - - - - -- - - - - - - ~ - - - ~ - - - - - -- - - - - -- ~ - - --- - - -- --- - --- - -- - - - - ---- - - - - -- -- - --- - - -- - - -- -- - - -- -- -- -- ---- - - - - - - - --- ----- --- - - -------~ - ----- -~---- ---~---- --- --- ----- ~------------ ---- 217 Mervin M. Chronister 18 9-09-4745 Decedent's Complete Address: STREET ADDRESS I 801 North Hanover Street I CITY I~TATE 1~'P Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 1,410 2. CreditslPaymenls A. Spousal Poverty Credit B. Prior Payments 1,350 C. Discount 68 Total Credits (A + B + C) (2) 1418 3. InterestlPenalty if applicable D. Interest E. Penalty T otallnterestlPenalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Une 20 to request a refund (4) 8 5. If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOC ~S 1. Did decedent make a transfer and: Yes ~ a. retain the use or income of the property transferred; .. 0 b. retain the right to designate who shall use the property transferred or its income; 0 c. retain a reversionary interest; or 0 [gJ d. receive the promise for life of either payments, benefrts or care? .. 0 IlJ 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 fZ} 4. Did decedent own an Individual Retirement Account, annuity or other non-probate property which contains a benefICiary designation? ., 0 [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPlETE SCHEDULE G AND FILE IT AS PART OF THE RETUF N. Under penalties 01 perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, and comDlele. Declaration 01 DreDarer other than the oorsonal renresentative is based on all information of which DreDarer has any knowIedae. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS For dates 01 death on or after July 1, 1994 and before January 1, 1995, the lax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3'1(, [72 P.S. Section 9116 (a)(1.1)(i)). For dates of death on or after January 1, 1995, the tax rate imposed onlhe nelvalue of transfers to or for the use of the surviving spouse is O'llr [72 P.S. Section 9116 (a)(1.1)(ii)). The statute doos not exempt a transfer to a surviving spouse from lax, and the statutory requirements for disclosure 01 assets and filing a lax retum are still applicable even W the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The lax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural paren~ an adoptive paren~ or a stepparent 01 the child is 0'llr[72 P.S. Section 9116(a)(1.2)]. The lax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5'1(" except as noted in 72 P.S. Section 9116(1.2) [72 P.S. Section g 1 6(a)(1)). The lax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12'llr [72 P.S. Section 9116(a)(1.3)].A sibling is defined, under Section 9102, as a individual wIlo has at least one parent in common with the decedent, whether by blood or adoption. AT .REV-l508 E}< + (1-97) OJ SCHEDULE E COMMONWEALTH OF PENNSYlVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Mervin M. Chronister 21-04-371 InckJde \he proceeds '" iligation and \he dale \he proceeds -............. by the esIaIe. AlL PROPERlY JOINTL Y-OWNED WITH THE RIGHT OF SUR\/1VORSHlP MJST BE DISCLOSED ON SO ;QULE F. ITEM VALU E AT DATE NUMBER DESCRIPTION OF DEATH 1. M& T Bank Account No. 29,900 2. Nursing Home refund 2,729 3. Insurance refund 157 4. Insurance refund 181 I TOTAL (Also enter on line 5, Recaoitulation)'$ 32,967 (If more space is needed, insert additional sheets of the same size) 217 REV-1511 EX + (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Mervin M. Chronister 21-04-371 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION MOUNT 1. FUNERAL EXPENSES: Hoffman Roth Funeral Home, balance owed 167 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City Year(s) Commission Paid: State Zip 2. 3. Attorney Fees Family Exemption: (If decedent's address is not the same as claimanrs, attach explanation) Claimant 1,000 Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountanrs Fees 6. Tax Retum Preparer's Fees 7. Final medical bills 8. Bank fee 9. Final bill, Coca Cola Club includ wI atty fee includ d wI atty fee 417 15 30 TOTAL Also enter on line 9 Reca itulation $ (If more space is needed, insert additional sheets of the same size) 1629 217 REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBlOR I I Mervin M. Chronister 21-04-474&; RELATIONSHIP TO DECEDENT AMOU~ T OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions. and transfers under Sec. 9116 (a) (1.2)] 1 Betty L. Walters Daughter 12.50% 2 Percy K. Chronister Son 12.50% 3 Norman L. Chronister Son 12.50% 4 Michelle Shannon Granddaug hter 12.50% 5. Nora Ann Hill Daughter 12.50% 6. James M. Chronister Son 12.50% 7. Peggy V. Wagner Daughter 12.50% 8. Connie S. Angle Daughter 12.50% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE. ON REV-1500 CO VER SHEET II. NON-TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS I TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ I 0 (If more space is needed. insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-26-2005 CHRONISTER 04-11-2004 21 04-0371 CUMBERLAND 101 APPEAL DATE: 02-24-2006 ( See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ~~I_~~9~~_I~!~_~!~~______~___~~!~!~_~Q~~~_~Q~!!Q~_EQ~_YQ~~_~~~Q~~~__~____________________ REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX MERVIN M FILE NO. 21 04-0371 ACN 101 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax ROBERT G FREY 5 S HANOVER ST CARLISLE PA 17013 ESTATE OF CHRONISTER TAX RETURN WAS: (X) ACCEPTED AS FILED 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/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets ) CHANGED ll) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 32.967.00 .00 .00 (8) REV-1547 EX AFP (06-05) MERVIN M (9) 1l0) 1,629.00 DATE 12-26-2005 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 32,967.00 1.6~9 00 31,338.00 .00 31,338.00 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 (11) (12) (13) (14) .00 X 00 = .00 31,338.00 X 045 = 1,410.00 .00 X 12 = .00 .00 X 15 = .00 (19)= 1,410.00 .---. l+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 07-01-2004 ...... CD004106 70.50 1,350.00 12-19-2005 REFUND .00 10.50- TOTAL TAX CREDIT 1,410.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. pt- ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) BUREAU OF INDIVIDUAF:::t~~~r, INHERITANCE TAX DIVISION -- ~ - ' PO BOX 280601 HARRISBURG PA 17128-06Dl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (03-D5) ",I' . '-' , I' , ~ "- " , ~ ') DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-03-2006 CHRONISTER 04-11-2004 21 04-0371 CUMBERLAND 101 MERVIN M \~, ROBERT a'FREY 5 S HANOVER ST CARLISLE Amount Remitted PA 11013 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: 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 +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF CHRONISTER MERVIN M FILE NO.21 04-0371 ACN 101 DATE 01-03-2006 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: 12-19-2005 PRINCIPAL TAX DUE: 1,410.00 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 07-01-2004 CD004106 70.50 1,350.00 12-19-2005 REFUND .00 10.50- TOTAL TAX CREDIT 1,410.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 II IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE 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 DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) RK STATUS REPORT UNDER RULE 6.12 Name of Decedent: MERVIN M. CHRONISTER Date of Death: April 11, 2004 Will No. Admin. No. 21-04-00371 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. !\. J ~r... i ~. ~I ~--LJ.~ Sigltature . Robert G. Frey Name (Please type or print) Date: March 7, 2006 5 South Hanover Street Carlisle. Pa 17013 Address (717) 243-5838 Telephone No. Capacity: ( ) Personal Representative ( X ) Counsel for personal representative ~~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 FREY ROBERT G 5 S HANOVER STREET CARLISLE, PA 17013-3385 RE: Estate of CHRONISTER MERVIN M File Number: 2004-00371 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. I, for decedents dying on or after July I, 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: 4/11/2006 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) y} Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 CHRONISTER NORMAN L 1481 NEWVILLE ROAD CARLISLE, PA 17013 RE: Estate of CHRONISTER MERVIN M File Number: 2004-00371 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. I, for decedents dying on or after July I, 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: 4/11/2006 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, ~~~ Clerk of the Orphans' Court cc: File Counsel v?r Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 FREY ROBERT G 5 S HANOVER STREET CARLISLE, PA 17013-3385 RE: Estate of MALLIOS CONSTANTINOS N File Number: 2004-00373 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: 4/09/2006 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. sz:y~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) V?7