HomeMy WebLinkAbout02-0697
Estate of DOROTHY E. STRA UB,
also known as DOROTHY E. MILLER
STRAUB, Deceased
PETITION FOR PROBATE and GRANT OF LETTERS
No. 2 / ~ 02.- (p q 1
To: Mary C. LeWIS
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 207-09-0209
The petition of the undersigned respectfully represents that:
Your petitioner, who is 18 years of age or older, is one of the co-executors named in the last will of the
above decedent, dated October 4, 2000, to which there are no codicils. In addition to the petitioner,
decedent named Gregory L. Straub as co-executor. The petitioner and Gregory L. Straub are brothers and
the sons of the decedent. By Renunciation dated July 30, 2002, and filed contemporaneously herewith,
Gregory L. Straub has relinquished his right to serve as co-executor in favor of the petitioner.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal
residence at 722 Alexander Spring Road, NeFtI! Mi.l.l1d.bl Township.
JJiC/<.i ,(/$?.9fi)
(list street, numIiei and municipality)
Decedent, then 84 years of age, died on July 8, 2002, at Church of God Horne, Carlisle, P A.
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: NONE
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: 441 Middletown Road, Hummelstown, Dauphin County, Pennsylvania
160,000.00
0.00
70,000.00
WHEREFORE; petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewim and the grant of letters testamentary thereon.
(testamentary; administration c.la; administration d.b.n.c.t.a.)
DENNIS R. STRAUB
722 Alexander Srring Road
Carlisle, P A 170 3
e;uu~~ t~!/
___~ __ "._~________._ ___.___......_______n____.__..___
----.-----.----- ------ ----- ------..- --
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF CUMBERLAND SS
The petitioner( s) above-named swear( s) or affirm( s) that the statements in the foregoing petition are true
and correct to the best of the knowledge and belief of petitioner( s) and that as personal representative( s) of
the above decedent, petitioner(s) will well and truly administer the estate according to
Sworn to or affirmed and subscribed before me >
~ 5thda~ AUGUST 20~ .
~(j: (~ 1t D." ("'II ft1" /; N.egister ~
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'{au~
No. 2/- O;2.~ v,q7
Estate of Dorothy E. Straub, also known as Dorothy E., Deceased
Miller Straub
DECREE OF PROBATE AND GRANT OF LETTERS
AUGUST 6 2002
AND NOW ' 19_, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented befOi" me,
IT IS DECREED that the instrument(s) dated 1 Q-4-2000
described therein be admitted to probate and filed of record as the last will of
DORDrHY E STRAUB A. K. A. OORDrHY E MIILER STRAUB
TE~'l'AMJONl'ARY
DENNIS R STRAUB
and Letters
are hereby granted to
~~,~~
MARY LEWIS Reg,,'er of Wil
extra pa'FEES 6.00
Probate, Letters, Etc. ......... $ 270.00
Short Ccnificates( ).......... $ 15.00
Renundation ................ $ 5.00
jcp $ 5.00
TOTAL _ $ 301.00
Filed ..1.-: ~ci~f: d" ~ .~. <;i: (;':'j,00a-
Georqe A. Vauqhn, III (7.'1650)
ATTORNEY (Sup. Cl. l.D. No.)
3904 Trindle Road, Camp Hill, PA 17011
ADDRESS
(717) 975-9102
PHONE
CUMBERLAND
Register of Wills of ~ County, Pennsylvania
RENUNCIA TION
Estate of
MRO'J'HY R ~'l'Rl\TlR
No. 2/- 02- ~7
also known alilORO'J'HY F:. MTLLF:R S'l'RIITlR
, Deceased
The undersigned,
son
(Relationship} ICapacityl
of
the above Decedent, hereby renounce{s\ the right to administer the estate and respectfully requesHs) that
Letters Te!=tt.ament.t=try
be issued to DENNTS R. S'l'RIIUB
Witness I11Y
hand this iO!- n
day of ,T111 y
2002
,~
~g,~
(S,gnaturel
GREGORY L. STRAUB
(Address!
(Signature I
(Addressl
(Signature I
(Addressl
Sworn to or affirmed and subscribed
before me this ..... ~ y.A day of
C{(Ii/1 OLOO? ,~
/7 /7 /'
~X<' ,;C~./ ~__
Notary Public /'
My Commission Expires: /17 c?c?, d:!ooy
l:>'y"'''U'tl and.eIM 01 NDlarV 0' 0110., 0110",.
NOTE; Renunciations executed outside the Office of Register of
Wills ace required in some countIes to be no\arI2ed.
4u"';h"a loa40.,;ni.te, OI,th.. !>how d..,~ "I
~.I'"'''''''' ,,'No,a,y'. cO"'''....lOn.1
Notarial seal .
Diane B. JenKins, Notary Pubhc
Hampden Twp.. Cumberland County 4
My Commission Exp!res May 22, 20~
Member, Pennsvlv3/llP ASS~'("lflti(1n 01 Notanes
RW-13 (Rvsd 9/92)
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WILL
OF
DOROTHY E. STRAUB
;2/-0.;l- (P9,
I, DOROTHY E. STRAUB, of Derry Township, Dauphin County, Pennsylvania,
declare this to be my last Will and revoke any will previously made by me.
ITEM I. I direct that all my just debts and funeral expenses, including my
gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed
by any governmental body as a result of my death, whether on property passing under this
Will or otherwise, shall be paid from my residuary estate as soon as practicable after my death
as a part of the expense of the administration of my estate.
ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and all
other articles of household and personal use, equipment and ornament, together with all
insurance thereon and relating thereto, to those of my issue, per stirpes and not per capita, who
survive my death by thirty (30) days.
ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate, to those of my issue, per stirpes
and not per capita, who survive my death by thirty (30) days.
ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any
execution or attachment.
ITEM V. I appoint my sons, DENNIS R. STRAUB and GREGORY L. STRAUB,
co-executors of this my last Will. Should either of my sons predecease me or otherwise fail to
qualify or cease to serve as co-executor of this my last Will, my surviving son shall serve as
executor.
ITEM VI. In addition to the other powers and authorities granted to my personal
representatives by Pennsylvania law and by the other terms and provisions of this Will, I
hereby give to my personal representatives the following powers and authorities effective
without court approval and until actual distribution of all property: to compromise any claim
or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind,
and in such manner as my personal representatives may determine and at valuations finally to
be fixed by them; to invest in all forms of property, including any stock or other securities in
any corporate fiduciary or its successor without restriction to investments authorized for
Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any
principle of risk or diversification; to retain any or all assets of my estate, real or personal,
without regard to any principle of risk or diversification; to sell at public or private sale, to
exchange, or to lease for any period of time, any real or personal property and to give options
for sales, exchanges, or leases, for such prices and upon such terms or conditions as my
personal representatives deem proper; and to allocate receipts and expenses to principal or
income or partly to each as my personal representatives deem proper in their sole discretion.
ITEM VII. I direct that my personal representatives and fiduciaries shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this Lit! day of
O~ ,2000.
d~c:\~-
DORO Y E. STRAUB
The preceding instrument, consisting of this and one other typewritten pages, each
identified by the signature of the testatrix was on the date thereof signed, published, and
declared by DOROTHY E. STRAUB, the testatrix therein named, as and for her last Will, in
the presence of us, who at her request, in her presence, and in the presence of each other, have
subscribed our names as witnesses hereto.
~~J7~~
DIANE B. JENKINS
xi~ cf ~~
GE GE A. V GHN, III
- 2-
COMMONWEALTH OF PENNSYLVANIA )
(SS.:
COUNTY OF CUMBERLAND )
I, DOROTHY E. STRAUB, being the person whose name is signed to the foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed
and executed the foregoing instrument as my Will; that I signed it willingly; and that I signed
it as my free and voluntary act for the purposes therein expressed.
"L9~ r k{~-
DOROTH E. STRAUB
Sworn or affirmed to and acknowledged PJfore
me by the testatrix named above this ~ day of
f)cMI-M. ,2000. NOTARIAl SOL
7 Franc.. T. Vaughn, Notary Public
/ --I I I, . . "il., Hampden T"p., Cumberland County
/;~ CL<<-U-<! <J 1/ t:~~ My Commllllon Expire. Sept. 15,2003
Notary Public
COMMONWEALTH OF PENNSYL VANIA )
(SS.:
COUNTY OF CUMBERLAND )
WE, DIANE B. JENKINS and GEORGE A. VAUGHN, III, 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 the testatrix sign and execute the instrument as her last
Will; that she signed it willingly; that she executed it as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the
Will as witnesses; and that to the best of our knowledge, the testatrix was at the time eighteen
or more years or age, of sound mind, and under no constraint or undue influence.
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DIANE B. JE KINS
~uV~~~
GE' RGE A. AUGHN, III
J ~
J-I-AC</VLG~ .,1 v;j /~
Notary PublIc
Sworn or affin,ned to and acknowledged before
me this 1 ~y of f9-i'.~:.e/L' , 2000.
NOTARiAl SEAl
Franc.. T. Vaughn. Notary Public
Hampdan T"p., Cumberland County
My Commllllon Expires Sept. 15. 2003
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1 162 EX(1 1-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
STRAUB DENNIS R
722 ALEXANDER SPRING ROAD
CARLISLE, PA 17013
___nn_ fold
ESTATE INFORMATION: SSN: 201-09-0209
FILE NUMBER: 2102-0697
DECEDENT NAME: STRAUB DOROTHY E
DATE OF PAYMENT: 10/04/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 07/08/2002
NO. CD 001692
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $9,900.00
I
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TOTAL AMOUNT PAID:
$9,900.00
REMARKS: DENNIS R STRAUB
CHECK# 182
SEAL
INITIALS: CW
RECEIVED BY:
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS
I
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CERTIFICATION OF NOTICE UNDER RULE 5.6 (a)
Name of Decedent:
Date of Death:
Admin. No.
Dorothy E. Straub
August 6, 2002
2002-00697
To the Register of Wills:
I certify that Notice of 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
as set forth on Schedule A attached hereto on October 4, 2002.
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except those
persons identified on Schedule B attached hereto.
Date:
October 15, 2002
G&t~, ITI, AUome, ill L,w
3904 Trindle Road
Camp Hill, PA 17011
(717) 975-9102
Counsel for Personal Representative
SCHEDULE A
Mr. Gregory L. Straub
228 South Cyrus Street
Cleona, PA 17042
Mr. Dennis R. Straub
722 Alexander Spring Road
Carlisle, PA 17013
/
II - "lq - "I
REV~ 1500 EX + (6~OO)
CAPB
HpRL
EplO
CRAC
KOTK
ES
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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COMMONWEALTH OF PENNSYL.VANIA
DEPARTMENT OF REVENUE
DEPT,280601
HARR1SBURG,PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Straub Doroth E.
DATE OF DEATH (MM-DD-YEAR)
FILE NUMBER
OFFICIAL USE ONI.. Y
21-02-0697
CQUNTYCODE YEAR
SOCIAL SECURITY NUMBER
207-09-0209
THIS REf URN MUST BE ALED IN DUPUCA1E WITH THE
NUMBER
REGISTER OF WILLS
SOCIAL S CURl Y NUMBER
o
o
3. date of death
. RemaInder Return prior to 12~ 13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Seh 0)
C P
o 0
R N
R 0
E E
S N
T
C
o
M
P
T U
A T
X A
T
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X 1. Original Return
4. limited Estate
X 6. Decedent Died Testate
(Attach copy of Will)
o 9. Litigation Proceeds Received
2. Supplemental Return
4a. Future Interest Compromise (date of death after 12~ 12~82)
7. Decedent Maintained a Living Trust
(Attach copy of Trust)
o 10. Spousal Poverty Credit
(date of death between 12~31~91 and 1~1-95)
III
COMPLETE MAILING ADDRESS
3904 Trindle Road
Camp Hill, PA 17011
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule 0 1
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule 1) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Sub'ee1 to Tax (Line 12 minus Line 13)
Copyright (c) 2000 form software only The Lackner Group, Inc.
NAME
TELEPHONE NUMBER
(1)
(2)
(3)
R
E
C
A
P
I
T
U
L
A
T
I
o
N
(4)
(5)
82,000.00
30,432.89
None
None
152,605.87
4,499.04
None
14,183.80
576.16
x
X
X
X
o 0
.045
.12
.15
OFFICIAL USE ONLY
(8) 269,537.80
(11) 14.759.96
(12) 254,777 .84
(13)
(14) 254,777,84
(15)
(16)
(17)
(18)
(19)
0.00
11,465.00
0.00
0.00
11,465.00
(6)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, ortransle" under Sec. 9116(a)(1.2)
16. Amount of Line 14 taxable at lineal rate 254,777.84
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.
Form REV-1500 EX (Rev. 6~OO)
Decedent's Complete Address:
STREET ADDRESS
722 Alexander Spring Road
CITY I STATE I ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
11,465.00
0.00
9,900.00
521.05
Total Cred.s ( A + B + C) (2)
10,421. 05
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( 0 + E) (3)
4. If Line 2 is 9reater than Line 1 + Line 3:, enter the difference. This is the OVERPAYMENT.
Chock box on Page 1 Line 20 to request a relund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
8. Enter the lotal of Line S + SA. This is the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
i:i:iii:ii::iliiii:::j'::!iiii:i::!!:!::iiii::jriii!!;:i'i!:!!;!;:!:!:!;:!!!ii:::::::!:iiii!i!ii:i:i!:i:i:!:!!iiil!i!iiiiiii!!liiiii!!::!::ii!iiiiiI!iii!i!i!i!:i!:!!!!:iiii!!i!iii::::::;:::::!).,:!!!
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PLE:ASEANSwER THE: FOLLOWING QUESTiONS BY PLACIIIIGAN "X"INTHEAPPROP'RiATEBLOcKs
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; ~ ~Xi
b. retain the right to designate who shall use the property transferred or its income; .
c. retain a reversionary interest; or. .
d. receive the promise for l[fe of either payments, beneiits or care?
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .
3. Did decedent own an "in trust fo( or payable upon death bank account or security at his
or her death?
4. Did decedent own an Individual Retirement Account, annuity, or other nan-probate property
which contains a beneficiary designation?
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
0.00
0.00
1,043.95
0.00
1,043.95
D
D
D
[]]
[]]
[]]
Under penalties of perjury, I declare that I h~\le examined thIs return, Including accompanying schedules and statements, and to the best of my knowledge and belief, it Is true,
correct and complete. Declaration of preparer other than the personal representatl\fe Is based on alt Information of which preparer has any knowledge.
JURE OF PERSON RESPONSIBLE FOR FiLiNG RETURN
~
HER THAN REPRESENTATIVE
Dennis R. Straub
_ _ _7.~?_ A~",,_a.~cf,,_"- _ ~p_"-~[l~_ _~~!'!'! _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Carlisle PA 17013
George A. Vaughn III
3904 Trindle Road
-----------------------------------------------------
Carn Hill PA 17011
DATE
1 z/3o/o 3
DAlE
/jJ~Io.3
Far dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed an the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S, 9116 (a) (l.ll (;)].
Far dates 01 death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. 9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements ior disclosure of assets
and filing a tax return are still applicable even if the surviving spouse is the only beneiiciary.
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 .$. 9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S, 9116( 1.2)
[72 P.S, 9116(aXl)].
The tax rate imposed an the net value of transfers to or for the use of the decedent's siblings is 12% (72 P.S. 9116(aX 1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Copyright (cl 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00)
REV-1S02 ex.. (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Dorothy E. Straub SS# 207-09-0209 07/08/2002 21-02-0697
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price
at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable
knowledge of the relevant facts. Real property which is jOintly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Residential real estate located at 441 Middletown Road, 82,000.00
Hummelstown, PA 17036; value established by arm's length sale on
November 22, 2002 (copy of Settlement Statement attached)
SCHEDULE A
REAL ESTATE
TOTAL (Also enter on line 1, Recapitulation) $ 82,000.00
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1502 EX (Re'i. 1-'37)
REV-1503 EX +(1~97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT OECEOENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
FILE NUMBER
Dorothy E. Straub
SSI! 207-09-0209
07/08/2002
All properly jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1
DESCRIPTION
14 $25.00 US Savings Bonds - Series E; all issued in
1977 - See attached Exhibit "E"
2
21 US Savings Bonds - Series E - See attached Exhibit
"F"
3
26 $25.00 US Savings Bonds - Series E; all issued in
1973 - See attached Exhibit "A"
4
26 $25.00 US Savings Bonds - Series E; all issued in
1974 - See attached Exhibit "B"
5
26 $25.00 US Savings Bonds - Series E; all issued in
1975 - See attached Exhibit "e"
6
26 $25.00 US Savings Bonds - Series E; all issued in
1976 - See attached Exhibit "D"
7
26 $25 US Savings Bonds - Series E; all issued in 1972
- See attached Exhibit "I"
8
7 US Savings Bonds - Series E - See attached Exhibit
"G"
9
9 US Savings Bonds - Series EE; See attached Exhibit
"H" - See attached Exhibit "H"
UNIT VALUE
(If more space is needed, insert additional sheets of the same size)
CopyrIght (c) 1996 form software only CPSystems, Inc.
TOTAL (Also enter on line 2, Recapitulation)
21-02-0697
VALUE AT DATE
OF DEATH
1,596.18
5,014.33
3,240.53
3,095.92
3,046.23
2,999.10
3,279.05
578.43
7,583.12
30,432.89
Form REY..1503 EX (Rev. 1-97)
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Inventory Report
Active Inventory
Print Date: 01/01
File Pricina Date: 07
Issue Next Interest Final Maturity
Series Denom Serial Number Date Price Interest Value Rate Yield Date Date
E $25 Q6299234097E 12/1978 $18.75 $64.94 $83.69 4.00% 6.47% 1212002 1212008
E 25 Q6299234277E 01/1979 18.75 64.96 83.71 4.00% 6.47% 0112003 0112009
E 25 Q6315391892E 04/1979 18.75 63.32 82.07 4.00% 6.52% 1012002 0412009
E 25 Q6322435929E 06/1979 18.75 64.30 83.05 4.00% 6.58% 1212002 0612009
E 25 Q6342037552E 06/1979 18.75 64.30 83.05 4.00% 6.58% 1212002 0612009
E 25 Q6342410385E 09/1979 18.75 62.68 81.43 4.00% 6.63% 0912002 0912009
E 25 Q6342410386E 09/1979 18.75 62.68 81.43 4.00% 6.63% 0912002 0912009
~TotaIS:
Price I
$131.25
Interest I
$447.18
Value
$5
. CI - bond was Cashed In . EX - bond was EXchanged for an HH bond . ME - bond is Matured and Exchangeable for an HH bond
nd is Matured and Not exchangeable for an HH bond . NE - bond is Not yet Eligible for payment (Irs < 6 months old) . NI - bond has Not yet been I
. P5 - bond is a Series I or EE, was Issued in or after May 1997 and includes a 3-month-lnterest Penally until the bond Is 5 years old
.' bond is a Series I or EE, was issued in or after January 1990 and may be tax exempt ~ used for post-secondary education
. II bond was Cashed In or EXchanged for an HH bond, but is being priced on a date prior to the cashed or exchanged date
6
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AEV-1508EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Dorothy E. Straub SS# 207-09-0209 07/08/2002 21-02-0697
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly..owned with the right of
survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1
DESCRIPTION
Allfirst Bank; Money Market Account #009449393 - Principal
balance as of date of death
VALUE AT DATE
OF DEATH
103,824.99
2
Al1first Bank; Money Market Account #009449393 - Interest accrued
to date of death
72.27
3
Al1first Bank; Passbook Savings Account #87004956705778 -
Principal balance as of date of death
1,143.01
4
Allfirst Bank; Passbook Savings Account #87004956705778 -
Interest accrued to date of death
0.87
5
Allfirst Bank; Certificate of Deposit #87008000744317 - Interest
accrued to date of death
321.22
Accrued income on item 5 to date of death
6,842.12
Accrued income on item to date of death
29,669.15
6
Allfirst Bank; Certificate of Deposit #8700800074561 - Interest
accrued to date of death
122.58
7
Allfirst Bank; Certificate of Deposit #87008000746328 - Interest
accrued to date of death
237.93
Accrued income on item 7 to date of death
6,113.43
8
Allfirst Bank; Certificate of Deposit #87008001154904 - Principal
balance as of date of death
3,528.97
9
Allfirst Bank; Certificate of Deposit #87008001154904 - Interest
accrued to date of death
123.25
10
Refund of prepaid school real estate tax (2002-03)
506.08
11
100.00
Appliances sold as part of real estate closing
TOTAL (Also enle, on line S. Recap~ulation) $ 152,605.87
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-15GB EX (Rev. 1-97)
REV-1509 EX.. (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TM RETURN
RESIDENT DECEDENT
ESTATE OF
Dorothy E. Straub
SCHEDULE F
JOINTLY-OWNED PROPERTY
SS# 207-09-0209
07/08/2002
FILE NUMBER
21-02-0697
If an asset was made joint within on. year of the decedent'. date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A.
Dennis R. Straub
722 Alexander Spring Road Son
Carlisle, PA 17013
B.
c.
JOINTLY-OWNED PROPERTY,
lETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial Institution and bank DATE OF DEATH DECO'S VALUE OF
account number 01' slmllar identifying number.
NUMBER TENANT JOINT Attach deed for Jolntly- held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1 A 02/28/69 ~llfirst Bank; Checking 8,998.08 50.00% 4,499.04
~ccount #0000881342 -
Balance as of date of death
TOTAL (Also enter on line 6, Recapitulation) $ 4,499.04
(If more space is needed insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
Form REV-1509 EX (Rev. 1-97)
REV-1511 EX,. (1~97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Dorothy E. Straub
Debts 01 decedent must be reported on Schedule I.
ITEM
NUMBER
A.
B.
SS# 207-09-0209
FILE NUMBER
21-02-0697
07/08/2002
DESCRIPTION
AMOUNT
1
FUNERAL EXPENSES;
Trefz and Bowen Funeral Home, Inc. - Funeral services
8,312.55
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year(s) Commission Paid:
2.
3.
Attorney's Fees George A. Vaughn III
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
3,525.00
City
Relationship of Claimant to Decedent
State
Zip
4.
Register of Wills
301.00
Probate Fees
s. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1
Other Administrative Costs
Dennis R. Straub - Reimbursement for miscellaneous expenses
incurred by executor
93.57
2
24.00
Derry Township Municipal Authority - Sewer service to decedent's
house
3
Derry Township Municipal Authority - Sewer service to decedent's
house
24.00
4
Derry Township Municipal Authority - Sewer service to decedent's
house
24.00
Total of Continuation Schedule(s)
1,879.68
TOTAL (Aiso en'er on line 9. Recapo"la'ion) $ 14,183.80
(If more space is needed, insert additional sheets of the same size)
Copyright(c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97)
Estate of: Dorothy E. Straub
Soc Sec #: 207-09-0209
Date of Death: 07/08/2002
Continuation of Schedule H-B2
(Attorney's Fees)
Item Description
#
1 George A. Vaughn, III Interim attorney's fee
2 George A. Vaughn, III Interim attorney's fee
3 George A. Vaughn, III Interim attorney's fee
4 George A. Vaughn, III Final attorney's fee
Amount
435.00
360.00
480.00
2,250.00
3,525.00
Estate of: Dorothy E. Straub
Soc Sec #: 207-09-0209
Date of Death: 07/08/2002
Continuation of Schedule H-B4
(Probate Fees)
Item Description
II
Amount
1 Register of Wills - Probate filing fee
301.00
301.00
Estate of: Dorothy E. Straub
Soc Sec #: 207-09-0209
Date of Death: 07/08/2002
Item
/1
Continuation of Schedule H-B7
(Other Administrative Costs)
Description
Amount
5
Derry Township Municipal Authority - Final sewer service to
decedent's house (paid at closing)
54.38
6
Hummelstown Oil Company - Heating oil for decedent's house
34.54
7
Philip J. Fratti, Tax Collector - 2003-04 school real estate
taxes
822.84
8
Electric service to decedent's house
39.85
PPL
9
Electric service to decedent's house
34.64
PPL
10
Electric service to decedent's house
40.34
PPL
11
33.09
PPL
Electric service to decedent's house
12
Recorder of Deeds - Transfer tax paid on sale of real estate
820.00
1,879.68
REV-1S12 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE T ~ RETURN
RESIDENT DECEDENT
ESTATE OF
Dorothy E. Straub
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, AND LIENS
55!! 207-09-0209
07/08/2002
FILE NUMBER
21-02-0697
Include unreimbursed medical expenses.
ITEM
NUMBER
1
DESCRIPTION
A11first Bank; Checking Account #0000881342
prior to date of death but cleared after date
Checks written
of death
AMOUNT
504.01
2
Brockie Pharmatech - Prescription service supplied to decedent
72.15
TOTAL (Also enter on line 10, Recapitulation) $ 576.16
(If more space is needed, insert additional sheets 01 the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97)
AEV-1513 ex + (9~OO)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Doroth\1 E. Straub
SSll 207-09-0209
07/08/2002
FILE NUMBER
21-02-0697
RELATIONSH.'P TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s} OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and
transfers under Sec. 9116(a)(1.2)]
1 Dennis R. Straub
722 Alexander Spring Road
Carlisle, PA 17013
Son One-half
2
Gregory L. Straub
228 South Cyrus Street
Cleona, PA 17042
Son
One-half
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS,
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CH"-RITABLE "-ND GOVERNMENT"-L DISTRIBUTIONS
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET S
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 2000 form software only The Lackner Group, Inc.
0.00
Form REV-1513 EX (R~v. 9-00)
HUD.I UNIFORM. SETTLEMENT STATEMENT
OMB Approval No. 2502-0265
A U.s. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT
. B. TYPE OF LOAN 6. File Number; 7. Loan Nwnber:
1. FHA 2. FmHA
3. X Cony. Unins. 4. VA 5. Cony. Ins. 8. Mortgage Insurance Case Number
C. NOTE: This fcrm. is furnished to give you a statement ofactual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(v.o.c.)"
were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
NOTE: TIN = Tamaver's Identification Number
D. NAME A.1>1D ADDRESS OF BORROWER: E. NAME, ADDRESS AND TIN OF SELLER: F. NAME A'ID ADDRESS OF LENDER:
John T. , Ann M" and Dennis R. Straub, Executor of Waypoint Bank
Jason S. Haldeman Dorothy E. Straub 101 S. George Street
117 Bradley Road York, PA 17401
Annville, PA 17003
G. PROPERTY LOCATION: H. SETTLEMENT AGENT NAME, ADDRESS AND TIN
441 Middletown Road Brinser~~wagner & zimmerman
Hurnrnelstown, PA 17036 6 EAST IN STREET PALMYRA PA 17078
PLACE OF SETTLEMENT I. SETTLEMENT DATE
24-050-013 Brinser, Wagner & Zimmerman 11/22/2002
6 East Main Street Palmvra PA
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELr .ER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER:
10 1, Contract sales nr1(;e 82 000.00 401. Contract sales once 82 000.00
102. Personal nrotv'!t'tv 100.00 402. Personal ornoertv 100.00
103. Settlement cj,-;'~es to borrower Line L400 3 951. 12 403.
104. 404.
ID5. 405.
Adiustments for items naid bv seller in advance Acfustments for items naid hv seller in advance
106. ciiViiowntaxes 11/22/2002-12/31/2002 8.78 406. Cirvhown taxes 11/22/2002-12131/2002 8.78
L07.Countvta..x.es 11/22 2002 12 31/2002 38.69 407. Count taxes 11 22 2002-12/31/2002 38.69
108. Assessments 408. Assessments
109. 409.
110. School Tax 11/22/02-06/30/03 506.08 410. School Tax 11/22/02 06/30 03 506.08
ill. 41I.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 86 604.67 420. GROSS AMOUNT DUE TO SELLER 82 653.55
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER, 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. T1Pnosit or earnest monev 2 000.00 501. Excess denosit 2 000.00
202. Princinal amount of new loan(s 65 600.00 502. Settlement charl1es to seller (Line 1400) 874.38
203. Existino loan{s' taken subiect to 503. Existino Iosm(s) taken subiect to
204. 504. Pavoff offlI'Sf. mortt:Jaoe loan
205. 505. Pavoff of second mort2a2e loan
206. 506.
207. 507.
208. 508.
209. 509.
Adjustments for items unnajd bv seller Adjustments for items unna;d bv seller
21{}.0+v!a.owntaxes 510. Citvltowntaxes
211. Count" taxes 511, Count" taxes
212. Assessments 512. Assessments
213. 5l3.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. TOTAL PAID BY/fOR BORROWER 67 600.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 2 874.38
300. C-"SH AT SETTLEMENT FROMrrO BORROWER
301. Gross amount due from borrower (Line 120) I
302. Less amount naid hv/for borrower (Line 220 r
303. CASH FROM BORoOWER I
86 604.67
67 600.00
19 004.67
600. CASH AT SETTLEMENT FROMrrO SELLER
601. Gross amount due to seller Line 420
602. Less reduction in amount due seller (Line 520)
603. CASH TO SELLER
I 82 653.55
I 2 874.38
-T 'jQ 779.17
SELLER'S STATEMENT
The information contained in Blocks E, G, H. and 1 and on line 401 (or, ifline 40 1 is asterisked, line 403 and 404) is important tax infonnation and is being furnished to the
Internal Revenue Service (see Seller Certification). If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required
to be reported and the IRS determines that it has not been reported. You are required to provide the Settlement Agent with your COllect taxpayer identification number. If you
do not provide the Settlement Agent with your correct taxpayer identification number, you may be subject to civil or criminal penalties imposed by law. Under penahies of
peJjury, I certifY that the number shown on this statement is my correct taJq>ayer identific<ltion number.
(Seller's Signature)
Dennis R. Straub, Executor of
(Seller's Signature)
Dorothy E. Straub
700. TOTAL SALESlBROKER'. COMMISSION based on nri<e S 82 000.00 @ PAID FROM PAID FROM
Division of Commission line 700' as follows: BORROWER'S SELLER:S
701. S FUNDS AT FUNDS AT
702. S SETTLEMENT SETTLEMENT
703. Commission oaid at Settlement
704.
800. ITEMS PAYABLE IN CONNECfION WITH LOAN
80 I. Loan Ori2ination Fee S
802. Loan Discount S 1 312.00
803. Annraisal Fee-to Ebv Appraisal services
804.Creditreoortto
805. Lender's Inspection Fee
806. Underwri tiner Fee 100.00
807. Docurnent Preparation 290.00
808. Tax Service Fee 91. 00
809. Aoolication Fee POC "470
810. Courier Fee 16.00
811. Flood Certification 14.00
812.
813.
900. ITEMS REOUlRED BY LENDER TO BE PAID IN ADVANCE
90l.lnterestfrom 11/22 2002-12/01 2002 @ S10.930 per da 98.37
902. Mortl1ap'e Insurance Premium for
903. Hazard insurance Premium for 1 vear (s ) to pOC "390
904.
905.
1 . RESERVES DEPOSITED WlTH LENDER
1001. Hazard insurance
1002. Mort~p'e insurance
1003. City Property Taxes
1004. County Property Taxes
lOO5.Annual~~~
1006.
1007.
1008. AHm-eeate Accounting: Adiustment
1100. TITLE CHARGES
1101. Settlement or closing fee to Brinser WaNner & Zimmerman 1?5.00
1102. Abstract or title search to
1103. Title Examination to
1104. Title insurance binder to
1105. Document preparation to
1106. Notarvfeesto Cash 10.00
1107. Attorney's fees to
includes line numbers: " ,
1108. Title Insurance to 750.75
(includes line numbers; .~: *'~. -
1109. Lender's covera2e $ 65 600.00
1110. Ownet"scoverai!e $ 82 000.00
1111. Endorsements 100 300 and 8.1 150.00
1112. Closin Protection Letter 35.00
1113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recordinp fees: Deed S 41.50 Mortgage $ 77.50 Release $ 119.00
1202. Citv/ontv tax/stamP" Deed $ 820.00 Mort~a~e $ 820.00
1203. State tax/stamm: Deed $ 820.00 Mort2tl2e $ 820.00
1204.
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Survevto
1302. Pest insnection to
1303. Derrv Townshio Municinal Authoritv 54.38
1304.0vernicrht Mail 20.00
1305.
I 1306.
1400. TOTAL SETTLEMENT CHARGES fenter on lines 103 Se<tIonJandS02 _nIG 3 951.12 874.38
CERTIFICATION: I have carefully reviewed the HUD-l Settlement Statement and to the best of my knowledge and belief, it is a tJUe and accurate statement of 4I)J receipts and
L. SETTLEMENT CHARGES
Seller Doroth
The HUD-l Settlement Statement w .
this transaction.
d~ts made ,on my ac~-My me in this~. Irer certitYthat I received a copY"ofthe ~1 Settlement Statement. /~ ~__ .
'"' 1~t{t/v,f'1J T!e~[{jL~ (E;;\"tA'\ \~,.,GO, q.~:~Ulj' 1/,1
.-' Dennis R. Straub Bon'9~er ,) .,--; John T. 1"
//. ..,')// I"~ .;- /::. /'j':~
f/.-(~;L . ., '~'_' '. ,,/1 '
. Straub ~~rrowu Jason S. Haldeman
"fve prepared is a true and accurate account oftbe funds disbursed or to be disbursed by the undersigntd as part of the settlement of
~/h .
.1 ILl tt/JJ/(/.c"
11/22/2002
er Wagner & Zimmerman Date
. ng1y make false statements to the United States OIl this or any other similar fann. Penalties upon conviction can include a fme and
itle 18 U.S. Code SectiOIllOOl and Section 1010.
;0
,
~
'1
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~
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S
Q:~
WILL
OF
DOROTHY E. STRAUB
I, DOROTHY E. STRAUB, of Derry Township, Dauphin County, Pennsylvania,
declare this to be my last Will and revoke any will previously made by me.
ITEM I. I direct that all my just debts and funeral expenses, including my
gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed
by any governmental body as a result of my death, whether on property passing under this
Will or otherwise, shall be paid from my residuary estate as soon as practicable after my death
as a part of the expense of the administration of my estate.
ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and all
other articles of household and personal use, equipment and ornament, together with all
insurance thereon and relating thereto, to those of my issue, per stirpes and not per capita, who
survive my death by thirty (30) days.
ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate, to those of my issue, per stirpes
and not per capita, who survive my death by thirty (30) days.
ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any
execution or attachment.
ITEM V. I appoint my sons, DENNIS R. STRAUB and GREGORY L. STRAUB,
co-executors of this my last Will. Should either of my sons predecease me or otherwise fail to
qualify or cease to serve as co-executor of this my last Will, my surviving son shall serve as
executor.
ITEM VI. In addition to the other powers and authorities granted to my personal
representatives by Pennsylvania law and by the other terms and provisions of this Will, I
hereby give to my personal representatives the following powers and authorities effective
without court approval and until actual distribution of all property: to compromise any claim
or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind,
and in such manner as my personal representatives may determine and at valuations finally to
be fixed by them; to invest in all forms of property, including any stock or other securities in
any corporate fiduciary or its successor without restriction to investments authorized for
Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any
principle of risk or diversification; to retain any or all assets of my estate, real or personal,
without regard to any principle of risk or diversification; to sell at public or private sale, to
exchange, or to lease for any period of time, any real or personal property and to give options
for sales, exchanges, or leases, for such prices and upon such terms or conditions as my
personal representatives deem proper; and to allocate receipts and expenses to principal or
income or partly to each as my personal representatives deem proper in their sole discretion.
ITEM VII. I direct that my personal representatives and fiduciaries shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this /ftt day of
OC}t~<- , 2000.
" r'
iJ~,~-
DORO E. STRAUB
The preceding instrument, consisting of this and one other typewritten pages, each
identified by the signature of the testatrix was on the date thereof signed, published, and
declared by DOROTHY E. STRAUB, the testatrix therein named, as and for her last Will, in
the presence of us, who at her request, in her presence, and in the presence of each other, have
subscribed our names as witnesses hereto.
~~~~~
DIANE B. J S
dc/a
GEA. VA
~
- 2-
COMMONWEALTH OF PENNSYLVANIA )
(S5.:
COUNTY OF CUMBERLAND )
I, DOROTHY E. STRAUB, being the person whose name is signed to the foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed
and executed the foregoing instrument as my Will; that I signed it willingly; and that I signed
it as my free and voluntary act for the purposes therein expressed.
~ J~ r: kt~-
DOROT E. STRAUB
5worn or affirmed to and acknowledged 9xfore
me by the testatrix named above this 1- ~y of
()d.c--fJ..u'L , 2000. NOT A R I A l SEAl
7 Frano.. T. Vaughn, Notary Public
I- -( I/~.." f . Hampdan Twp., Cumberland County
/":;, 0/..-:<--624 v 1/ c~~-../ My Commllllon Explra. Sept. 15,2003
Notary Public
COMMONWEALTH OF PENN5YLV ANIA )
(55.:
COUNTY OF CUMBERLAND )
WE, DIANE B. JENKINS and GEORGE A. VAUGHN, ill, 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 the testatrix sign and execute the instrument as her last
Will; that she signed it willingly; that she executed it as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the
Will as witnesses; and that to the best of our knowledge, the testatrix was at the time eighteen
or more years or age, of sound mind, and under no constraint or undue influence.
~. ~~'
'W'~ __/
DIANE B. JE S
, c~ft--r!Y
GE RGE A.'VAUGHN, ill
Sworn or affirmed to and acknowledged before
me this -1- ilJay of (Cr:1kf:'.e.A-.- , 2000.
. ,NOTARIAl SEAl
t j K~ Francaa T. Vaughn, Notary Public
. A~~j '- - c w"----" Hampden Twp., Cumberland County
vN P bli My Commllllon expire. Sept. 15, 2003
otary u c
COMMONWEALTH OF PENN5YLVANIA )
(55.:
COUNTY OF CUMBERLAND )
I, DOROTHY E. STRAUB, being the person whose name is signed to the foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed
and executed the foregoing instrument as my Will; that I signed it willingly; and that I signed
it as my free and voluntary act for the purposes therein expressed.
"g~ ~R~-
DOROT E. STRAUB
I;~ CL~~-CR4
Notary Public
Sworn or affirmed to and acknowledged ~fore
me by the testatrix named above this 1- ~y of
f)cMi"UL , 2000. NOT A R I A L SEA L
Franc.. T. Vaughn, Notary Public
Hampdan Twp., Cumberland Caunty
My Cammlael." Expires Sapt. 15, 2003
d lIcUU;L
COMMONWEALTH OF PENN5YL VANIA )
(55.:
COUNTY OF CUMBERLAND )
WE, DIANE B. JENKINS and GEORGE A. VAUGHN, m, 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 the testatrix sign and execute the instrument as her last
Will; that she signed it willingly; that she executed it as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the
Will as witnesses; and that to the best of our knowledge, the testatrix was at the time eighteen
or more years or age, of sound mind, and under no constraint or undue influence.
~~d~~_~/
DIANE B. JE 5
, V~~-r~
GE . RGE A.'VAUGHN, m
Sworn or affin;ned to and acknowledged before
me this 2- ilJay of (Q('~;:e.<.- , 2000.
. NOTARIAL SEAL
-b. 1 ~ Francea T. Vaughn, NOlary Public
- "AcvY1-e.e...l, . ~ Hampden Twp., Cumbarland County
"N P bli My Commllllon Explrea Sept. 15, 2003
otary u c
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
aUREAU OF INDIVIDUAL TAXES
DEPT,280601
HARRISBURG. PA 17128-0601
REV- 1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
VAUGHN GEORGE A III ESQ
3904 TRINDlE ROAD
CAMP Hill, PA 17011
___nn_ fold
ESTATE INFORMATION: SSN: 201-09-0209
FILE NUMBER: 2102-0697
DECEDENT NAME: STRAUB DOROTHY E
DATE OF PAYMENT: 12/31/2003
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 07/08/2002
NO. CD 003393
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,043.95
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$1,043.95
. REMARKS: DENNIS R STRAUB
C/O GEORGE A VAUGHN III ESQ
CHECK# 3624
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
DONNA M. OTTO
DEPUTY REGISTER OF WillS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVTSION
DEPT. IR0601
HARRISBURG, PA 17128-0601
GEORGE A VAUGHN III
$90q TRINDLE RD
CAMP HILL
COHMONNEALTH OF PENNSYLVANIA
BEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLO#ANCE OR DZSALLONANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
~ -' DATE 02-16-200q
~-~ .u~' L:~ ...... o ESTATE OF STRAUB
DATE OF DEATH 07-08-2002
FILE NUHBER 21 02-0697
'04 FEB 13 P3:29 COUNTY CUMBERLAND
ACN 101
Curnba~;and 0o., PA
Aeount Reeitted
RE¥-15¢7 EX AFP (01-05}
DOROTHY E
HAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF HILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 1701:5
CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~
REV-15~7 EX AFP [01-03) NOTICE OF INHERITANCE TAX APPRAISENENT~ ALLONANCE OR
DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF STRAUB DOROTHY E FILE NO. 21 02-0697 ACN 101 DATE 02-16-200~
TAX RETURN NAS: (X) ACCEPTED AS FILED ( } 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)
$. Closely Held Stock/Partnership Interest (ScheduZe C) ($)
q. Hortgages/Notes Receivable (Schedule D) (G)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly O~ned Property {Schedule F) {6)
7. Transfers (Schedule G) (7}
8. Total Assots
APPROVED DEDUCTIONS AND EXEHPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I] (10)
Il. Total Deductions
12. Net Value of Tax Return
82/000.00
.00
.00
152/605.87
~/R99.0R
.00
(8)
NOTE: To insure proper
credit to your account,
subait the upper portion
of this form ~ith your
tax payeent.
269,5:57.80
lq,18:5.80
576.16
(11)
(12)
~.769.96
25q,777.8q
15.
Ii..
NOTE:
ASSESSMENT OF TAX: 15. Amount of Line 1~ at Spouse1 rate
16. Amount ot: Line 1¢ taxable at Lineal/Class A rate
17. Aaount of Line 1~ at Sibling rata
18. Amount of Line lq taxable at Collateral/Class B rate
Cheritable/Soverneental Bequests; Non-elected 9115 Trusts (Schedule J) (15)
Nat Value of Estate SubSect to Tax (lq)
If an assesseent was issued previously, lines lq, 15 and/or 16, 17,
reflect figures that include the total of ALL returns assessed to date.
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
10-0q'-2002 CD001692
.00
25q,777.8q
18 and 19 #ill
(is) .00 x O0 = .00
(16) 25q,777.8q x OqS= 11,q65.00
(17) . O0 x 12 = .00
(la) .00 x 15 = .00
(1~)= 11,q65.00
AMOUNT PAID
DISCOUNT
INTEREST/PEN PAID (-)
521.05
INTEREST IS CHARGED THROUGH 0:5-02-200q
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
9,900.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
10,q21.05
1,0q:5.95
1,089.26
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REiIUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR}, YOU MAY BE DUE
REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)~-=-~
..
George A. Vaughn, III
Attorney at Law
3904 Trindle Road
Camptiill, PennsylvilflJarVOll
(717) 975,91'oi!IiS
FAX (717) 975,9105
'04 FEB 20 P;Z :18
cli:IIPruary 18, 2QQ~rt
C, · c.".-'~ R'A
ILlnuv"~,,lC< vO.,
Glenda Farner Strasbaugh
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013-3387
RE: Estate of Dorothy E. Straub
No. 2002-697
Dear Ms. Farner Strasbaugh:
Enclosed is a copy ofa Notice ofInheritance Tax Appraisement dated February 16,2004,
which 1 received from the Department of Revenue for the above-referenced estate.
This notice is in error in that it does not record a credit for additional inheritance tax paid
on December 31, 2003, in the amount of$I,043.95. A copy of your Official Receipt for this
payment is also enclosed. Taking that payment into account, the only additional amount due and
owing in accordance with the notice is $45.31, and a check in that amount is enclosed.
Please be sure the Department does have a correct record of the payments made for the
inheritance tax liability for this estate.
If you need anything further, please do not hesitate to contact me.
Very truly yours,
l, A. V""gTm, In
Attorney at Law
GA V/nlb
Enclosures
cc: Mr. Dennis R. Straub
1""
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.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DE.?T. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
VAUGHN GEORGE A III ESQ
3904 TRINDLE ROAD
CAMP HILL, PA 17011
nnnn fold
ESTATE INFORMATION: SSN: 201-09-0209
FILE NUMBER: 2102-0697
DECEDENT NAME: STRAUB DOROTHY E
DATE OF PAYMENT: 02/20/2004
POSTMARK DATE: 02/19/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 07/08/2002
NO. CD 003586
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $45.31
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
: REMARKS:
CHECK# 4561
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$45.31
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
. aUREAU Of INDIVIOUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17126-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE Of INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSHENT Of TAX
GEORGE A VAUGHN
3904 TRINDLE RD
CAMP HILL
III
'04
.. . DATE
.~jtATE OF
'V'I6l\TE OF DEATH
FILE NUMBER
[r J?Q!J.I!TY
\ I'AC;.t5
02-16-2004
STRAUB
07-08-2002
21 02-0697
CUMBERLAND
101
FEB 20
*'
REV~1547 EX AFP ,Ol.Ul
DOROTHY
E
Amount: Rellli 'Hed
. PA
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 ~
iiE"v=i54TE"x-AFiQoFo3rNOTICE-.ol=-i"NHEififANcrTAin"-PPRAisEMiNi"~--AL.iOWANCnfR--.--------------
DISALLOWANCE uF DEDUCTIuNS AND ASSESSHENT OF TAX
DOROTHY E FILE NO. 21 02-0697 ACN 101
PA 17011 L
C:lTnrL-
'~"_,drt
ESTATE OF
STRAUB
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
DATE 02-16-2004
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. Aaount 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
ACTS:
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule AJ
2. stocks and Bonds (Schedule B)
3. Closely Held stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule U)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
&. Jointly Owned Property {Schedule FJ
7. Transfers (Schedule Gl
8. Total Assets
(1)
(2)
(3)
(4)
(5)
1&)
17J
82,000.00
30,432.89
.00
.00
152,605.87
4,499.04
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/Ad~. Costs/Misc. Expenses (Schedule HJ
10. Debts/Mortgage Liabilities/Liens (Schedule Xl
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Govern~ental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
14,183.80
576.16
(11)
(12)
(13)
(14)
NOTE:
.00 X
254,777.84 X
.00 X
.00 X
+
AI10UNT PAID
9,900.00
DATE
10-04-2002
NUHBER
CD001692
INTEREST/PEN PAID 1-)
521.05
INTEREST IS CHARGED THROUGH 03-02-2004
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
00 =
045 =
12 =
15 =
(19)=
NOTE: To insure proper
credit to your account I
submit the upper portion
of this form with your
tax payment.
269,537.80
14.7tiQ 96
254,777.84
.00
254,777.84
.00
lL465.00
.00
.00
11,465.00
10,421.05
1,043.95
45.31
1,089.26
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, ND PAYMENT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIDNS.)
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z8G60l
HARRISBURG~ PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
'*
REY~1i07 Ell. I.FP tUl-OS)
'04
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
FE8 27 P 1 :@NTY
ACN
02-17-2004
STRAUB
07-08-2002
21 02-0697
CUMBERLAND
101
DOROTHY
E
GEORGE A VAUGHN
3904 TRINDLE RD
CAMP HILL
III
Allount Remitted
PA 170lr'~""
C\itr!i:JC'
.-ji..nt
CO., PA
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 ...
iiE'v=i6'ifj-EiCAFP--m.-=oiY------...;;-iNHERI'TANC'E--i'AX-STA-fEHENi'-OF-ACCoUiif--;;....---------------------
ESTATE OF STRAUB
DOROTHY
E FILE NO.21 02-0697
ACN 101
DATE 02-17-2004
TNIS 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, 02-16-2004
PRINCIPAL TAX DUE: m"
11,465.00
PAYMENTS (TAX CREDITS):
BAL
PAYMENT RECEIPT DISCOUNT (+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-J
10-04-2002 CDOO1692 521.05 9,900.00
12-31-2003 CD003393 .00 1,043.95
ANCE OF UNPAID INTEREST/PENALTY AS OF 01-01-2004 TOTAL TAX CREDIT 11,465.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. 38.19
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 38.19
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDITn feR)..
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
BUREAU OF INDIVIDUAL TAXES
TNH£RITANCE TAX DZVISTON
DEPT. 280601
HARRTSBURG, PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEHENT OF ACCOUNT
REV-1607 EX AFP (01-05)
'04 14
GEORGE A VAUGHN III
$904 TRINDLE RD
CANP HILL PA 1701~.,'
;DATE 05-29-2004
ESTATE OF STRAUB DOROTHY
DATE OF DEATH 07-08-ZOOZ
FILE NUMBER 21 0Z-0697
:/C~UNTY CUMBERLAND
ACN ~0!
I Amoun~ Rem/~ed
I
MAKE CMECK PAYABLE AND REMIT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
NOTE: To insure proper' credi~ ~o your account, submi~ ~he upper portion of ~his fore Nigh your ~ax payment.
CUT ALONG THTS L'rNE ~ RETATN LOWER PORT/ON FOR YOUR RECORDS
REV-1607 EX AFP (01-03) ~ INHERITANCE TAX STATEMENT OF ACCOUNT
ESTATE OF STRAUB DOROTHY E FILE NO. 21 0Z-0697 ACH 101 DATE 05-29-2004
TH'rS STATEHENT IS PROV'rDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN 'rN THE NAHED ESTATE. SHO#N BELO#
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICAT'rON OF ALL PAYHENTS, THE CURRENT BALANCE,, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-16-2004
PRZNCIPAL TAX DUE: ...........................................................................................................................................................................................................................
PAYMENTS (TAX CREDITS):
11,465.00
PAYHENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
10-04-2002
12-$1-2005
02-19-2004
CD001692
CD005595
CD005586
521.05
.00
38.19-
9,900.00
1,043.95
45.31
ZF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( ZF TOTAL DUE ZS LESS THAN $1,
NO PAYHENT ZS REQUIRED.
ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR),
TOTAL TAX CREDIT 11,472.12
BALANCE OF TAX DUE 7.1ZCR
INTEREST AND PEN. .00
TOTAL DUE 7.1ZCR
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.
Name of Decedent:
Date of Death:
STATUS REPORT UNDER RULE 6.1~
.A. dmln. No.:
'Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes ~3 No ['-1
2. If the auswcr is No, state when the personal representative reasonably believes
that the admlni~tration will be complete:
If the an.~wer to No. 1 is Yes, state the following:
m Did the personal r~resentative file a final account with the Court?
Yes _ No '
b. The separate Orphans' Court No. (if any) for the personal representative's
Date:
Did the personal r .¢presmtative state au account informally to the p.arties
in interest? Yes ~3 No'
c. Copi~ of receipts, releases, joinders and approval of formal or
informal accounts m~y be filed with the Clerk of the. Orphun¢' Court
Capacity:
iddress '
Telephone No.
[] Personal Representative
[] Counsel for personal representative
George A. Vaughn, III
Attorney at Law
3904 Trindle Road
Camp Hill, Pennsylvania 17011
(717) 975-9102
FAX (717) 975-9105
September 7,2004
Glenda Farner-Strasbaugh, Clerk of the Orphans' Court
One Court House Square
Carlisle, PA 17013
RE: Estate of Dorothy E. Straub
File No. 2002-00697
Dear Mrs. Strasbaugh:
Enclosed is a completed Status Report under Rule 6.12 for the above-referenced estate. If
you need anything further in this matter at this time, please do not hesitate to contact me.
Thank you.
ve27rulY yours,
;g.,!:~
Attorney at Law
GVlbn
Enclosure
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Dorothy E. Straub
Date of Death: JULY 8, 2002
WillNo.: 2002-00697 Admin. No.:
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the abov .e, Lcj~ ~tioned' estate:
1. State whether administration of the estate is complete: cr '::. ·
Yes
No
2. If the answer is No, state when the personal representative reasOnably"~elieves
that the administration will be complete:
3. If the answer tO No. 1 is Yes, state the following:
Did the personal representative file a final account with the Court?
Yes _ No []
b. The separate Orphans' Court No. (if any) for the personal representative's
account is: N/~
c. Did the personal representative state an account informally to the parties
in interest? Yes 1~ No [-]
Date:
c. Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk of the. Orphans' Court
and may be attached to this repoj:t7
George A. Vauqhn, III
Name
3904 Trindle Road
Camp Hill, PA 17011
Address
Capacity:
(717) q75-q102
Telephone No.
[--] Personal Representative
~-] Counsel for personal representative