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HomeMy WebLinkAbout03-0389 stee: D-- Reg of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of GLADYS M. KEEFAUVER Deceased ROBERT REGA No. c~/-~' -~e~9 Social Security No. 180-26-5419 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner is the executrix named in the Last Will of the Decedent, dated April 4, 2000 and codicil(s) dated State relevant circumstances, e.g. renunciation, death of Executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not to victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (d.b.n.c.t.a.: pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence COMPLy- I ~- IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 316 Old Fort Road, Borough of Lemoyne, Cumberland County, Pennsylvania (List street, number and municipality) Decedent, then 92 years of age, died April 26, 2003 at Holy Spirit Hospital, Camp Hill, Pa (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ..................................................................... $ 66,000.00 (If not domiciled in PA) Personal property in Pennsylvania ..................................... $ (If not domiciled in PA) Personal property in County .................................................... $ Value of real estate in Pennsylvania ...................................................................................................................... $ 82,000.00 Total ......................................................................................................... $ 148,000.00 Real Estate situated as follows: Property located at 316 Old Fort Road, Lemoyne, Pennsylvania Wherefore, Petitioners respectfully request the probate of the last Will presented with this Petition and the grant of letters in the appropriate form to the undersigned: Signature Typed or printed name and residence Robert Rega P.O. Box 675 Mount Pleasant Road Ruffsdale, PA 15679 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND · The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. ROBERT REG~ Before me this ~"2TM day of ~¢~ h,~j ,2003. / NO. Estate of GLADYS M. KEEFAUVER , Deceased Social Security No: 180-26-5419 Date of Death: April 26, 2003 AND NOW, ~2'3c2J ,, ~ 7-,~, ,2003, in consideration of the Petition on the reverse side hereon, satisfactory~rol~having been presented before me, IT IS DECREED that Letters Testamentary d.b,n,c.t.a.; pendente lite; durante absentia; durante minoritate are hereby granted to ROBERT REGA in the above estate and that the instrument(s) dated APRIL 4, 2000 described in the Petition be admitted to probate and filed of record as the last Will of the Decedent. FEES Letters ........................... Short Certificate(s) Renunciation .............. Affidavit ( ) .................. Extra Pages ( ) ....... Codicil ............................ JCP Fee ....................... Inventory ...................... Other .............................. TOTAL ......... $ Register of Wills ' $ ! <~-~o Attorney: Edmund G. Myers $ I.D. No: 20558 Address: Johnson, Duffle, Stewart & Weidner, 301 Market Street, P.O. Box 109, Lemoyne, PA 17043- Telephone: 717-761-4540 004232-00002/3.30.00/EGM/KLT/121131.3 · ast ill anb starn nt OF GLADYS M. KEEFAUVER I, GLADYS M. KEEFAUVER, of Borough of Lemoyne, 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 or Codicils at any time heretofore made by me. ARTICLE I I direct the payment of all my legal debts, and the expenses of my last illness and funeral from my Estate as soon after my death as conveniently may be done. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and whatever jurisdiction imposed, shall be paid from my Residuary Estate as part of the expense of the administration of my Estate. ARTICLE I! I give and bequeath my Willit bedroom set unto REBECCA THEURER, New Cumberland, Pe~msylvania, provided she survives me. 004232-00002/3.30.00/EGM/KLT/121131.3 ARTICLE III I give such of my tangible personal property as is set forth in a separate, dated and unsigned letter of instruction, which I shall place with my Will, to the persons therein designated. If my Executor or Successor fails to locate the letter of instruction, I direct my Executor or Successor to disregard this Article. ARTICLE IV I give and bequeath to EAST HARRISBURG CEMETARY COMPANY, IN TRUST, a sum sufficient to establish an endowment for perpetual floral placements on Christmas, Easter, Memorial Day and the date of death of the following persons: my mother, Mary Morton (date of death - February 8); my grandmother, Jermie Morton (date of death - January 23); my grandfather, Robert F. Morton (date of death - September 15); my husband, Walter M. Keefauver (date of death - May 12); and my father-in-law, John W. Keefauver (date of death - June 9); and for a perpetual floral placement on my grave on my date of death ( a total of twenty-one annual floral placements, which, according to 1993 prices, would require an endowment of Eleven Thousand Five Hundred Fifty and no/one hundredths ($11,550.00) Dollars. In no event, however, shall such sum be more than $11,550.00 plus an adjustment measured by the increase in the Consumer Price Index from December, 1993 until the date of my death. ARTICLE V I give, devise and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, as follows: A. Twenty Five (25%) percent thereof unto ROBERT REGA and MARY REGA, Ruffsdale, Pennsylvania, provided one or both of them survive me. O04 232-O0002/3.30.O0/E GM/KL T/121131.3 Bo follows: The remainder of my estate shall be divided into equal shares and distributed as 1. Two (2) such equal shares unto ZION LUTHERAN CHURCH, 15 South 4th Street, Harhsburg, Pennsylvania. 2. One (1) such equal share unto ROSALIN DeMARCO, Camp Hill, Pennsylvania, provided she survives me. 3. One half(I/2) such equal share unto THE HUMANE SOCIETY OF THE HARRISBURG AREA, INC., 7790 Grayson Road, Harrisburg, Pennsylvania. 4. One (1) such equal share unto KENNETH B. CONNER, M.D., Camp Hill, Pennsylvania, provided he survives me. ARTICLE VI I direct that all estate, inheritance, transfer and other taxcs of similar nature payable by reason of my death, together with any interest or penalties thereon, and imposed with respect to any property, whether or not disposed by this Will, shall be paid out of the residue of my Estate. I further direct that any and all such taxes shall be paid from and be deducted from my residuary estate prior to the calculation of the shares of the residuary beneficiaries, so that each residuary beneficiary, charitable or not, shall bear a portion of the burden of such taxes. ARTICLE VII I nominate, constitute and appoint ROBERT REGA, Executor of this my Last Will and Testament, and to make distribution of my estate in cash or in kind, or partly in cash and partly in kind and in such manner as he may determine. I authorize, empower and direct my Executor to 004232-00002/3.30.00/EGM/KLT/121131.3 sell and convey, by good and sufficient deed, in fee simple estate, m~y and all of my real estate, at public or private sale, for such price or prices, upon such terms and conditions, as in his judgment is best for my estate, and to that end to sign, seal, execute, acknowledge and deliver all deeds or other instruments necessary therefor, as effectively as I could do ifI were personally present. In the event that ROBERT REGA fails to qualify or ceases to so act, then I nominate, constitute and appoint KENNETH B. CONNER, M.D., Alternate Executor. In the event that KENNETH B. CONNER, M.D., fails to qualify or ceases to so act, then I nominate, constitute and appoint ALLFIRST TRUST COM[>ANY OF PENNSYLVANIA, N.A. alternate Executor to complete the administration of my estate. I direct that no fiduciary appointed herein shall be required to post bond for the faithful administration of the duties required in any jurisdiction. /~~ITNESS WHEREOF, I have hereunto set my hand m~d seal, this /--///~,~day of ,2000. EFAUVERX,~ Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. O04232-O0002/3.30.O01E GMIKLTI121131.3 ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA · · SS COUNTY OF CUMBERLAND · We, Gladys M. Keefauver, '~,¥...~.~_~.~, r--.~..-.,,-.~ ~ and ~' ,.~.x~. ~. ~ ~,x~ , the Testatrix and the witnesses, respectively, whose names ~e si~ed to the attached or fbregoing i~s:rm~_e;~t, being first duly sworn, do hereby declare to the undersized authority that the Testatrix signed and executed the instrument as her Last Will and that she had si~ed willingly and that she executed it as her fi'ee and voluntary act for the pu¢oses therein expressed, and that each oI' the witnesses, in the presence and hearing of the Testatrix, si~ed the Will as witness and that to the best of his/her ~owledge the Testatrix was at that time eighteen ye~s of age or older, of sound mind and under no constraint or undue influence· GLADYS 5~. KEEFAUVE~ Wi tness Subscribed, sworn to and acknowledged before me by Gladys M. Keefauver, Testatrix, and subscribed and sworn to before me by -~t~, g'~. w-,~,~,,,~, (~ and ~.~'~..~ %.'"x' j,.~ , witnesses, this 'q 'tJ'~day of ,2000. Notary Public NOTARIAL SEAL ..... DIANNE LENIG, Notary Pub?. Le_moyne EIomuoh Cumbeti~a.(: ~ Commission Expires Der';, 2. L ?~ 0 t: ZM 9- A~Pl £0. COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPMANS' COURT DIVISION NO. 00389 ESTATE OF GLADYS M. KEEFAUVER, DECEASED ACCOUNT OF KENNETH B. CONNER, Executor Date of Death: Date of Executor's Appointment: Date of First Advertisement of Letters: Accounting for the Period: April 26, 2003 May 6, 2003 June 6, 2003 April 26, 2003 to February 28, 2004 Purpose of Account: KENNET~ B. CONNER, Executor, offers this account to acquaint interested parties with the transactions that have occurred during this admlntstration. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Edmund G. Myers Attorney Identification No. 20558 Johnson, Duffle, Stewart & Weidner P. O. Box 109 Lemoyne, PA 17043-0109 717/761-4540 GROSS ESTATE (Principal Receipts + Income Receipts) 215,969.56 SUMMARY OF ACCOUNT Estate of Gladys M. KEEFAUVER, Deceased For Period of 04/26/2003 through 02/28/2004' Page Proposed Distributions to Beneficiaries 17 PRINCIPAL Receipts: Per Inventory Filed 1-3 Subseq Prn Receipts Net Gain (or Loss) on Sales or Other Disposition Less Disbursements: Debts of Decedent 5-8 Funeral Expenses 8 Administration Expenses 8 Federal and State Taxes 9 Fees and Commissions 10 Family Exemption Balance before Distributions Distributions to Beneficiaries Principal Balance on Hand For Information: Investments Made Changes in Investment Holdings INCOME 11 12 13¸ Current Value 170,501.36 Fiduciary Acquisition Value 170,501.36 215,005.30 616.31 0.00 215,621.61 9,779.57 1,454.21 3,384.42 13,500.00 16,800.00 0.00 44,918.20 170,703.41 550.00 170,153.41 Receipts: This Account Net Gain (or Loss) on Sales or Other Disposition Less Disbursements Balance Before Distribution Distributions to Beneficiaries Income Balance on Hand Investments Made Changes in Investment Holdings 14-15 16 347.95 0.00 347.95 0.00 347.95 0.00 347.95 COMBINED BALANCE ON HAND 170,501.36 04/26/03 04/27/03 04/26/03 04/27/03 04/26/03 04/27/03 04/26/03 04/27/03 04/26/03 04/27/03 04/26/03 04/26/03 SCHEDULE A RECEIPTS OF PRINCIPAL CASH: Allfirst Bank Certificate of Deposit Account No. 8-000-000-2027266 Accrued income through date of death Allfirst Bank Certificate of Deposit Account No. 8-700-810-0657092 Accrued income through date of death Allfirst Bank Certificate of Deposit Account No. 8-700-810-0796181 Accrued income through date of death Alifirst Bank Relationship with Checking Account No. 00504-1713-4 Accrued income through date of death Allfirst Passbook Savings Account No. 87004912103756 Accrued income through date of death Comcast Cable Communications - Refund on Account 09547-180661 Country Meadows Pharmacy Refund 10,000.00 2.21 10,000.00 1.96 10,000.00 6.45 27,955.50 3.47 35,834.64 61.95 23.39 35.16 Fiduciary Acquisition Value -t- 04/26/03 04/26/03 11/07/03 04/26/03 07/21/03 04/26/03 County Meadows - Room Refund Estate of Sylvia Grist Final Distribution under Will Estate of Sylvia Grist Distribution of Alltanz Annuity Metlife Auto and Home Economy Premier Assurance Insurance Company - Refund on Homeowners Residence located at 316 Old Fort Road, Borough of Lemoyne, Cumberland County, Pennsylvania. Wood & Myers Oral & Maxillofacial Surgery, P.C. - Patient Refund 2,185.27 18,851.64 397.52 145.08 918.73 12.00 04/26/03 04/26/03 04/26/03 04/26/03 PERSONAL PROPERTY: Anglo-Indian Center Table. Appraised by Cordier Antiques & Fine Art. Personal Property of Decedent sold by Cordier Antiques and Fine Art by live auction and internet. Tea Set. Willett Solid Lancaster County Maple 6 Piece Bedroom Suite. 950.00 7,085.33 85.00 550.00 116,434.97 8,670.33 -2- 04/26/03 REAL ESTATE/PA: Residence located at 316 Old Fort Road, Borough of Lemoyne, Cumberland COunty, Pennsylvania. 89,900.00 89,900.00 01/29/04 01/30/04 SUBSEQUENT PRINCIPAL RECEIPTS: Estate of Sylvia Crist - Final Distribution from Estate. Pennsylvania Department of Revenue - Refund on overpayment of Inheritance Tax 193.64 422.67 616.31 TOTAL RECEIPTS OF PRINCIPAL ............... 215,621.61 -3- SCHEDULE B GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS - PRINCIPAL Gain Loss 07/21/03 Residence located at 316 Old Fort Road, Borough of Lemoyne, Cumberland County, Pennsylvania. 07/30/03 Net Proceeds Fid. Acq. Value 89,900.00 89,900.00 Personal Property of Decedent. 0.00 Net Proceeds 7,085.33 Fid. Acq. Value 7,085.33 0.00 TOTAL GAINS AND LOSSES/PRINCIPAL ........... LESS LOSS ............................. NET GAIN OR LOSS ........................... 0.00 0.00 0.00 0.00 -4- SCHEDULE C DISBURSEMENTS OF PRINCIPAL SCHEDULE C-1 DEBTS OF DECEDENT ADT Security Services 06/03/03 113.97 Allfirst Bank Fee for Estate Checks 05/14/03 06/10/03 Associated Cardiologists 06/16/03 07/23/03 Check Clearing After Date of Death o5/19/o3 14.00 5.OO 1.21 1.21 19.00 2.42 50.00 Conner Rich Associates o5/11/o3 06/12/03 Cordier Antiques and Fine Art 07/30/03 15.00 213.87 228.87 175.00 -5- Cumberland County Meals on Wheels 05/16/03 3.65 Health South - Therapy 05/24/03 128.18 Johnson, Duffle, Stewart & Weidner 05/17/03 Attorney Fees prior to Death 440.00 Lemoyne Borough - Sewer Payment 07/11/03 54.00 Metlife Casualty Insurance Payment 07/22/03 30.08 Metlife Auto and Home - Payment of Homeowners Insurance 06/16/03 127.00 Pennsylvania American Water Company 04/30/03 05/30/03 07/01/03 07/31/03 08/19/03 13.30 17.04 18.11 10.65 5.50 64.60 -6- Pennsylvania Power & Light 05/05/03 06/03/03 07/01/03 o8/01/o3 08/Ol/03 Residence located at 316 Old Fort Road, Borough of Lemoyne, Cumberland County, Pennsylvania. Deed Book C, Volume 14, Page 424. Tax Parcel Number 12-21-0265-012. 07/21/03 45.02 39.68 21.36 13.76 21.01 140.83 7,245.73 Termite Inspection - Bowers Pest Control 07/21/03 630.70 UGI Utilities 06/16/03 07/16/03 08/04/03 UGI Utilities o5/15/o3 19.33 20.02 16.55 55.90 18.14 Verizon Telephone 04/28/03 05/28/03 07/02/03 48.34 119.01 44.45 211.80 -7- West Shore EMS 05/11/03 39.70 TOTAL DEBTS OF DECEDENT ............................. 9,779.57 SCHEDULE C-2 FUNERAL EXPENSES Gingrich Memorials Date on Headstone 06/12/03 100.00 Jeff Wiseman 05/08/03 87.81 Musselmans Funeral Home and Cremation Services, Inc. 05/17/03 1,266.40 TOTAL FUNERAL EXPENSES .............................. 1,454.21 SCHEDULE C-3 ADMINISTRATION EXPENSES Commision on Sale of Personal Property 07/30/03 2,479.87 -8- Cumberland County Re§ister of Wills Office 05/06/03 Probate Fees 11/04/03 Additional Probate Fee Reserve for costs to be incurred 02/28/04 272.00 34.00 306.00 400.00 The Cumberland Law Journal 05/22/03 Notice of Estate Administration 75.00 The Patriot News 05/22/03 Notice of Estate Administration 123.55 TOTAL ADMINISTRATION EXPENSES ....................... 3,384.42 SCHEDULE C-4 FEDERAL AND STATE TAXES Cumberland County Register of Wills Office 07/22/03 Inheritance Tax Prepayment 13,500.00 TOTAL FEDERAL AND STATE TAXES ....................... 13,500.00 -9- SCHEDULE C-5 FEES AND COMMISSIONS Johnson, Duffie, Stewart & Weidner 11/05/03 1/2 of Attorneys Fees paid at time of filing Inheritance Tax Return 02/28/04 Remaining Attorney Fees Robert Rega served as Executor until his death in November 2003, and completed most of the Adminsttration of the Estate. Kenneth B. Conner, Successor Executor has completed administration and makes no claim for a commission. 07/15/03 Executor Commission to the Estate of Robert Rega 3,750.00 3,750.00 7,500.00 9,300.00 TOTAL FEES AND COMMISSIONS .......................... 16,800.00 TOTAL DISBURSEMENTS OF PRINCIPAL .................... 44,918.20 -10- SCHEDULE D DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Rebecca Theurer 09/03/03 Specific Bequest under Article II of Decedent's Will. Willett Solid Lancaster County Maple 6 Piece Bedroom Suite. Valued and Appraised by Cordier Antiques & Fine Art. 550.00 TOTAL DISTRIBUTIONS TO BENEFICIARIES ...... 550.00 -11- PRINCIPAL BALANCE ON HAND # Units Description ESTATE Current Value or as Noted Fiduciary Acquisition Value 170,153.41 170,153.41 170,153.41 170,153.41 -12- SCHEDULE F CHANGES IN INVESTMENT HOLDINGS - PRINCIPAL Personal Property of Decedent sold by Cordier Antiques and Fine Art by live auction and internet. 04/26/03 received 07/30/03 sold Cost 7,085.33 (7,085.33) 0.00 Residence located at 316 Old Fort Road, Borough of Lemoyne, Cumberland COunty, Pennsylvania. Deed Book C, Volume 14, Page 424. Tax Parcel Number 12-21-0265-012. 04/26/03 received 07/21/03 sold 89,900.00 (89,900.00) 0.00 Willett Solid Lancaster County Maple 6 Piece Bedroom Suite. Valued and Appraised by Cordier Antiques & Fine Art. 04/26/03 received 09/03/03 distributed 550.00 (55O.00) 0.00 -13- SCHEDULE G RECEIPTS OF INCOME SCHEDULE G-2 INTEREST Allfirst Bank Certificate of Deposit Account No. 8-000-000-2027266 o5/21/o3 06/20/03 o7/21/o3 o8/21/o3 09/22/o3 Allfirst Bank Certificate of Deposit Account No. 8-700-810-0657092 05/22/o3 06/20/03 07/09/03 08/11/03 09/09/03 10/09/03 Allfirst Bank Certificate of Deposit Account No. 8~700-810-0796181 05/09/03 06/09/03 07/22/03 08/22/03 09/22/03 Ailfirst Bank Relationship with Checking Account No. 00504-1713-4 05/12/03 06/11/03 07/03/03 07/11/03 08/12/03 09/12/03 7.24 9.77 9.45 9.76 9.77 7.82 10.11 10.19 5.94 5.95 5.76 10.19 4.08 9.78 10.10 10.1t 1.45 1.32 1.08 0.17 0.92 0.89 45.99 45.77 44.26 -14- lO/lO/O3 lO/25/o3 lO/25/o3 Allfirst Passbook Savings Account No. 87004912103756 07/06/03 09/01/03 M&T Bank Estate Interest Bearing Account No. 9834633142 02/26/04 0.80 20.04 19.23 24.17 25.20 45.90 49.37 116.66 TOTAL INTEREST INCOME ..................... TOTAL RECEIPTS OF INCOME .................. 347.95 347.95 -15- INCOME BALANCE ON HAND # Units Description ESTATE Current Value or as Noted Fiduciary Acquisition Value 347.95 347.95 347.95 347.95 -16- PROPOSED DISTRIBUTION TO BENEFICIARIES AMOUNT AVAILABLE FOR DISTRIBDTION: $ 170,501.36 PROPOSED DISTRIBUTION: EAST HARRISBURG CEMETERY COMPANY, IN TRUST Bequest under Article IV of Will $ 15,500.00 BEQUESTS OF RESIDUE UNDER ARTICLE V OF WILL MARY REGA 25% of Residue $ 38,750.34 ZION LUTHERAN CHURCH 2 Shares of 75% of Residue (33.33%) $ 51,661.95 ROSALIN DeM_ARCO 1 Share of 75% of Residue (16.67%) $ 25,838.73 HUMANE SOCIETY OF HARRISBURG, PA h Share of 75% of Residue (8.33%) $ 12,911.61 KENNETH B. CONNER 1 Share of 75% of Residue (16.67%) $ 25,838.73 -17- AFFIDAVIT KENNETH B. CONNER, Executor under the Last Will and Testament of GLADYS M. KEEFAUVER, deceased, hereby declare under oath that he/she has fully and faithfully discharged the duties of his/her office; that the foregoing Account is true and correct and fully discloses all significant transactions occurring durin§ the accounting period; that all known claims against the estate have been paid in full; that, to his/her knowled§e, there are no claims now outstanding against the Estate; that all taxes presently due from the estate have been paid; and that more than four months have elapsed since the first complete advertisement of the §rantin§ of letters in this estate. KENNETH B. CONNER, Executor Subscribed and sworn to by KENNETH B. CONNER, Executor before me this ~-~ day of J~/~(~ ~ 200 ,L../-' n~otary Public NOTARIAL SEAL DANA L. WlESEMAN, Notary Public Lemoyne Bom. Cumberland County My Commission Expires Nov. 15, 2004 REQUEST FOR DISTRIBUTION Accountant requests that distribution be determined by the Court in accordance with the Petition for Distribution to be offered in evidence at the audit of this account. KENNETH B. CONNER, Executor -peqos pe~odoJd qlt~ ®~u~pao~oe ul pee~oep uollnqljlg!p pu~ COURT OF COMMON PLEAS ORPHANS' COURT DIVISION FIRST FINAL ACCOUNT ESTATE OF GLADYS M. KEEFAUVER NO. 00389 ACCOUNT OF KENNETH B. CONNER, EXECUTOR Edmund G. Myer~ LAW OFFICES JOHNSON, DUFFIE. STEWART & WEIDNER THIRD & MARKET STREETS P. O. BOX 109 LEMOYNE, PENNSYLVANIA 17043-0109 '04 Pt/~R 22 74:1a I hereby certify tl~t ~,m~ ~ice of the filing ot this Aooounl, e~i of the d~te, time ~nd pl~ce when the esrne wiE be presented to the Court for ~ artd of ltle ~ daylo file written known to the accountant to have o~ claim -n heir or nex~ of 10n. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: Will No. GLADYS M. KEEFAUVER APRIL 26,2004 21-03-0389 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rule, 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 No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 6 MONTHS 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 X No b. The separate Orphans' Court No. (if any) for the personal representative's Account is: parties of interest? Did the personal representative state an account informally to the Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. r.~, Date: Apn?_27, 2004 EDMUND G. MYERS JOHNSON, DUFFIE, STEWART & WEIDNER 301 Market Street P.O. Box 109 Lemoyne, PA 17043 (717) 761-4540 Capacity: __Personal Representative (x) Counsel for Personal Representative CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: Will No.: GLADYS M. KEEFAUVER April 29, 2003 2003-00389 Admin. No.: To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on May 20, 2003. Name Address Rebecca Theurer East Harrisburg Cemetery Company Robert Rega Mary Rega Zion Lutheran Church Rosalin DeMarco The Humane Society of the Harrisburg Area, Inc. Kenneth B. Conner, M.D. 900 Drexel Hills Boulevard New Cumberland, PA 17070' 2260 Herr Street Harrisburg, PA 17103 675 Mt. Pleasant Road Ruffs Dale, PA 15679 15 South 4TM Street Harrisburg, PA 17101 821 Yeverdon Drive Camp Hill, PA 17011 7790 Grayson Road Harrisburg, PA 17111 428 Candlewyck Road Camp Hill, PA 17011 Notice has now been given to all persons entitled Date: May 20, 2003 thereto under Rule 5.6(a) except None. Signature Name EDMUND G. MYERS Johnson, Duffle, Stewart & Weidner Address 301 Market St. P. O. Box 109 Lemoyne, PA 17043-0109 Telephone (717) 761-4540 Capacity: Counsel for personal representative JERRY R. DUFFLE RICHARD W. STEWART C. ROY WEIDNER, JR. EDMUND G. MYERS DAVID W. DELUCE RALPH H. WRIGHT, JR. DAVID J. LANZA MARK C. DUFFIE MELISSA PEEL GREEVY MICHAEL J. CASSIDY ROBERT M. WALKER LAW OFFICES JOHNSON, DUFFIE, STEWART WEIDNER A Professional Corporation 301 MARKET STREET P. O. BOX 109 LEMOYNE, PENNSYLVANIA 17043-0109 W'EBSITE: www.jdsw, com TELEPHONE 717-761-4540 FACSIMILE 717~761-3015 E-MAIL mailOjdsw, com July 22, 2003 HORACE A. JOHNSON COUNSEL TO THE FIRM E-MAIL dlw@jdsw.com Register of Wills Office Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 ATTN: CHERYL Dear Cheryl: Re: Estate of Gladys M. K~.efauver SSN: 180-2625419 ~ PA File No. 21-03-0389 Our File No. 4232-2 Enclosed please find Estate Check No. 1008 in the amount of $13,500.00. This payment represents the three-month prepayment in order to qualify for the discount. The decedent died on April 26, 2003. Please provide a receipt along with the enclosed copy of this correspondence, time stamped and returned in the enclosed self-addressed stamped envelope. Should you have any questions, or require any additional information, please feel free to contact the undersigned. Very truly yours, ~~em~a~ Legal Assistant cc: Robert Rega, Executor //216227 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 002838 ........ fold JOHNSON DUFFLE STEWART & WEIDNER ATTYS 301 MARKET ST.,PO BOX 109 LEMOYNE, PA 17043-0109 ESTATE INFORMATION: SSN: 180-26-5419 FILE NUMBER: 2103-0389 DECEDENT NAME: KEEFAUVER GLADYS M DATE OF PAYMENT: 07/23/2003 POSTMARK DATE: 07/22/2003 COUNTY: CUMBERLAND DATE OF DEATH: 04/26/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $13,500.00 REMARKS: TOTAL AMOUNT PAID: ROBERT REGA C/O JOHNSON DUFFLE STEWART AND WEIDNER $13,500.00 SEAL CHECK# 1008 INITIALS: SK RECEIVED BY.' DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS LAW OFFICES JOHNSON, DUFFLE, $TEWART lB WEIDNER 301 MARKET STREET P. O. BOX 109 LEMOYNE, PENNSYLVANIA 17043-0109 Register of Wills Office Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 ATTN: CHERYL i '7..-. :-~ -:. 3 + 3 3 o i 02 i,,,IH,,,lll ...... Ii,,ll,,,ll,,,Ihll ...... Ilhh,hl,,,,H,t REV'1500 EX + (6-00) REV-1500 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEP . 280 Ol RESIDENT DECEDENT HARRISBURG, PA 17128-O601 D 04/26/2003 06/21/1910 E N (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) T CA-" HP,n EP.'cO CR= INHERITANCE TAX RETURN R E C A P I T U L A T I O N DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) KEEFAUVER Gladys M. DATE OF DEATH (MM-DD~YEAR) DATE OF BIRTH (MM-DD-YEAR) ~:~47! Supplemental Return · Future Interest Compromise (date of death after 12-12-82) Decedent Maintained a Living Trust (Attach copy of Trust) '--]10. Spousal Poverty Credit (date of death between 12-3 1-91 and 1-1-95) OFFICIAL USE ONLY FILE NUMBER 21-03-0389 COUNTYCODE YEAR NUMBER SOCIAL SECURITY NUMBER 180-26-5419 THIS RETURN MUST BE FILED IN DUPLICATE W~TH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER J= (date of death 3. Remainder Return prior to 12-13-82) 5. Federal Estate Tax Return Required i 8. Total Number of Safe Deposit Boxes ~ 11, Election to tax under Sec. 9113(A) ~ ~ ,, (Attach Sch O) C O M T I 0 1. Original Return 4. Limited Estate 6. Decedent Died Testate (Attach copy of Will) ~ 9. Litigation Proceeds Received NAME Edmund G. Myers FIRM NAME (If Applicable) Johnson, Duffie, Stewart & Weidner TELEPHONE NUMBER 717/761-4540 COMPLETE MAILING ADDRESS P. O. Box 109 301 Market Street Lemoyne, PA 17043-01d9 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or (3) Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits& Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) ~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11 ) 13. 14. 89,900.00 None None None 125,162.15 None None 21,413.63 9,778.97 Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) OFFICIAL USE ONLY (8) 215,062.15 (11) 31,192.60 (lZ) 183,869.55 (13) 92,098.80 (14) 91,770.75 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 0 (15) 16. Amount of Line 14 taxable at lineal rate 0.00 X .0 45 (16) 17. Amount of Line 14 taxable at sibling rate X .12 (17) 18. Amount of Line 14 taxable at collateral rate 91,770.75 x .15 (18) 0.00 0.00 0.00 13,765.61 1~' Tar~x Due, .......... (19) 13,765.61 Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) ~ Decedent's Complete Address: ' ' ~TREET ADDRESS 316 Old Fort Road CITY Lemoyne STATE ?A Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty 0.00 13,500.00 688.28 (~) ZIP 17043 Total Credits ( A + B + C ) (2) 13,765.61 Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retaintheuseorincomeofthepropertytransferred; ......................... b. retain the right to designate who shall use the property transferred or its income; ........... c. retain a reversionary interest; or .................................... d. receive the promise for life of either payments, benefits or care? ................... 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................ [] ~-~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............................................. 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 14,188.28 0.00 422.67 0.00 0.00 0.00 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Robert R~7.GA DATE · ,, ~' P.O. Box 675 SIGNATORE OF PREPARER OT~'ER THAN REPRESENTATIVE ' ? ., Johnson, Duffle, Stewart & Weidner DATE .~/'~ P.O. Box 109 -- ...................... For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9116(a)(1)1. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(a)(1.3)]. A sibling is defined, under Section 9102. as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyright (c) 2000 form software only T,e Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) ,R, EV-1502 F~X + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gladys M. KEEFAUVER SS# SCHEDULE A REAL ESTATE 180-26-5419 04/26/2003 FILE NUMBER 21-03-0389 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 Residence located at 316 Old Fort Road, Borough of Lemoyne, Cumberland COunty, Pennsylvania. Deed Book C, Volume 14, Page 424. Tax Parcel Number 12-21-0265-012. - The Settlement Sheet is attached to this Return for reference~ TOTAL (Also enter on line 1, Recapitulation) (If mere space is needed, insert additional sheets of the same size) Copyright (c) '/996 form software only CPSystems, Inc. 89,900.00 Form REV-1502 EX (Rev. 1-97) $ 89,900.00 ,REV- 1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA I N H ERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS,& MISC. PERSONAL PROPERTY FILE NUMBER Gladys M. KEEFAUVER SS# 180-26-5419 04/26/2003 21-03-0389 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 4 7 8 9 10 11 12 Copyright (c) 1996 form software only CPSystems, Inc. VALUE AT DATE Of DEATH DESCRIPTION Estate of Sylvia Crist - Final Distribution under Will Allfirst Bank Certificate of Deposit Account No. 8-000-000-2027266 Accrued income on item 2 through date of death Allfirst Bank Certificate of Deposit Account No. 8-700-810-0657092 Accrued income on item 3 through date of death Allfirst Bank Certificate of Deposit Account No. 8-700-810-0796181 Accrued income on item 4 through date of death Allfirst Bank Relationship with Checking Account No. 00504-1713-~ Accrued income on item 5 through date of death Allfirst Passbook Savings Account No. 87004912103756 Accrued income on item 6 through date of death Comcast Cable Communications - Refund on Account 09547-180661 Country Meadows - Pharmacy Refund County Meadows Room Refund Metlife Auto and Home Economy Premier Assurance Insurance Company Refund on Homeowners Residence located at 316 Old Fort Road, Borough of Lemoyne, 918.73 Cumberland COunty, Pennsylvania. Deed Book C, Volume 14, Page 424. Tax Parcel Number 12-21-0265-012. Refund/Reimbursement at Settlement of: County Taxes $ 124.87 Assessments $ 767.25 Trash $ 26.61 Settlement Sheet is attached hereto for reference. Wood & Myers Oral & Maxillofacial Surgery, P.C. Patient Refund 12.00 Total of Continuation Schedule(s) 9,124.70 TOTAL (Also enter on line 5, Recapitulation) $ 125,162.15 (If more space is needed, insert additional sheets of the same size) Form REV-1508 EX (Rev. 1-97) 18,851.64 10,000.00 2.21 10,000.00 1.96 10,000.00 6.45 27,955.50 3.47 35,834.64 61.95 23.39 35.16 2,185.27 145.08 Estate of: Gladys M. KEEFAUVER Soc Sec #: 180-26-5419 Date of Death: 04/26/2003 Continuation of Schedule E (Cash, Bank Deposits & Miscellaneous Personal Property) Item Description Value at Date of Death 13 14 15 16 17 Anglo-Indian Center Table. Appraised by Cordier Antiques & Fine Art. Appraisal Report is attached hereto. Personal Property of Decedent that was sold by Cordier Antiques and Fine Art by way of a live auction and internet sales. A copy of the receipt regarding such sales is attached hereto Tea Set. Valued and appraised by Cordier Antiques & Fine Art and is attached hereto Willett Solid Lancaster County Maple 6 Piece Bedroom Suite. Valued and Appraised by Cordier Antiques & Fine Art. Appraisal Report is attached hereto. Estate of Sylvia Crist - Distribution of Allianz Annuity 950.00 7,085.33 85.00 550.00 454.37 9,124.70 , ,Rev- 1s11, E,X + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gladys M. KEEFAUVER SS~/ ri SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS 180-26-5419 04/26/2003 FILENUMBER 21-03-0389 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION 1 2 3 1 2 3 4 5 FUNERAL EXPENSES: Oingrich Memorials Date on Headstone Jeff Wiseman - Payment for Church Luncheon Musselman's Funeral Home ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Robert RF, GA Social Security Number(s) / EIN Number of Personal Representative(s) Street Address P.O. Box 675 City Ruffs Dale State PA Zip15679 Year(s) Commission Paid: Attorney's Fees Johnson, Duffie, Stewart & Weidner Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City The State Zip Relationship of Claimant to Decedent Probate Fees Register of Wills Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs Commision on Sale of Personal Property Cordier Antiques and Fine Art Expenses for Auction Cumberland County Regsiter of Wills Office ~ Filing Fees for Inheritance Tax Return and Inventory The Cumberland Law Journal Notice of Estate Administration Patriot News - Notice of Estate Adminsitration TOTAL (Also enter on line 9, Recapitulation) AMOUNT 100.00 87.81 1,266.40 9,300.00 7,500.00 272.00 2,479.87 175.00 34.00 75.00 123.55 $ 21,413.63 (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) ,REV-1512 EX *(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gladys M. KEEFAUVER SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS SS# 180-26-5419 04/26/2003 FILE NUMBER 21-03-0389 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 ADT Security Services Allfirst Bank Fee for Estate Checks Allfirst Bank Fee for Estate Checks - Account Analysis Associated Cardiologists Check Clearing After Date of Death Check written from Estate Account Conner Rich Associates Cordier Antiques and Fine Art - Expenses for Auction Cumberland County Meals on Wheels Health South - Therapy Johnson, Duffle, Stewart & Weidner - Attorney Fees prior to Deat~ Lemoyne Borough - Sewer Payment Metlife Casualty Insurance Payment Metlife Auto and Home - Payment of Homeowners Insurance Pennsylvania American Water Company Pennsylvania Power & Light Residence located at 316 Old Fort Road, Borough of Lemoyne, Cumberland County, Pennsylvania. Deed Book C, Volume 14, Page 424. Tax Parcel Number 12-21-0265-012. Settlement Charges from Closing held July 21, 2003. Settlement Sheet is attached hereto for reference. Termite Inspection UGI Utilities Verizon Telephone West Shore EMS Bowers Pest Control TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) AMOUNT 113.97 14.00 5.O0 2.42 50.00 21.01 228.27 175.00 3.65 128.18 440.00 54.00 30.08 127.00 64.60 119.82 7,245.73 630.70 74.04 211.80 39.70 9,778.97 Copyright (c) 1996 form software only CPSystems, Inc. Form REV-151Z EX (Rev. 1-97) REV-1513 EX + (9-oo) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Glad'zs M. KEEFAUVER SS~/ NUMBER I. 2 3 II. SCHEDULE J BENEFICIARIES 180~26-5419 04/26/2003 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116~)(1.2)] Kenneth B. Conner M.D. 428 Candlewyck Road Camp Hill, PA 17011 Rosalin DeMarco 821 Yverdon Drive Camp Hill, PA 17011 Mary Rega P.O. Box 675 Mt. Pleasant Road Ruffs Dale, PA 15679 Robert Rega P.O. Box 675 Mt. Pleasant Road Ruffs Dale, PA 15679 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Friend Friend Friend Friend FILENUMBER 21-03-0389 AMOUNT OR SHARE OF ESTATE 16.67% of Residual Estate 16.67% of Residual Estate 12.5% of Residual Estate 12.5% of Residual Estate ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE The Humane Society of the Harrisburg Area, Inc. Zion Lutheran Church, Harrisburg, Pennsylvania B. CHARITABLEAND GOVERNMENTALDISTRIBUTIONS 1 East Harrisburg Cemetery Company, In Trust 2 3 TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET (If more space is needed, insert additional sheets of the same size) 15,500.00 15,334.47 61,264.33 92,098.80 Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1513 EX (Rev. 9-00) Estate of: Gladys M. KEEFAUVER Soc Sec #: 180-26-5419 Date of Death: 04/26/2003 Continuation of Schedule J, Part I (Taxable Bequests) Item Name and Address of Beneficiary Relationship Amount or Share of Estate Rebecca Theurer 900 Drexel Hills Boulevard New Cumberland, PA 17070 Friend Willit Bedroom Set LISTING OF EXHIBITS FOR ESTATE OF GLADYS M. KEEF,,IUVER EXHIBIT A Last Will and Testament of Gladys M. Keefauver signed and dated on the 4th day of April, 2000. EXHIBIT B EXHIBIT C EXHIBIT D Settlement Sheet for the sale of the Residence located at 316 Old Fort Road, Lemoyne, Cumberland County, Pennsylvania. Schedule B and Schedule I. Cordier Antiques and Fine Art Appraisal Report for the Tea Set and Anglo-Indian Table. Schedule E. Cordier Antiques and Fine Art Expense Sheet for the Live Auction and Internet Sales. Commissions and Expenses listed also. Schedule E and Schedule H. EXHIBIT E Cordier Antiques and Fine Art Appraisal Report for the Willett Bedroom Suite. Schedule E. EXHIBIT A /OF GLADYS M. KEEFAUVER I, GLADYS M. KEEFAUVER, of Borough of Lemoyne, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare tlfis as and for my Last Will and Testament, hereby revoking and making void any and all Wills or Codicils at any time heretofore made by me. ARTICLE I I direct the payment of all my legal debts, and the expenses of my last illness and funeral fi.om my Estate as soon after my death as conveniently may be done. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and whatever jurisdiction imposed, shall be paid fi.om my Residuary Estate as part of the expense of the administration of my Estate. ARTICLE II I give and bequeath my Willit bech-oom set unto REBECCA THEURER, New Cumberland, Pennsylvania, provided she survives me. ARTICLE III I give such of my tangible personal property as is set forth in a separate, dated and unsigned letter of instruction, which I shall place with my Will, to the persons therein designated. If my Executor or Successor fails to locate the letter of instruction, I direct my Executor or Successor to disregard this Article. ARTICLE IV I give and bequeath to EAST HARRISBURG CEMETARY COMPANY, IN TRUST, a sum sufficient to establish an endowment for perpetual floral placements on Christmas, Easter, Memorial Day and the date of death of the following persons: my mother, Mary Morton (date of death - February 8); my grandmother, Jennie Morton (date of death - January 23); my grandfather, Robert F. Morton (date of death - September 15); my husband, Walter M. Keefauver (date of death - May 12); and my father-in-law, John W. Keefauver (date of death - June 9); and for a perpetual floral placement on my grave on my date of death ( a total of twenty-one annual floral placements, which, according to 1993 prices, would require an endowment of Eleven Thousand Five Hundred Fifty and no/one hundredths ($11,550.00) Dollars. In no event, however, shall such sum be more than $11,550.00 plus an adjusln'nent measured by the increase in the Consumer Price Index from December, 1993 until the date of my death. ARTICLE V I give, devise and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, as follows: A. Twenty Five (25%) percent thereof unto ROBERT REGA and MARY REGA, Ruffsdale, Pennsylvania, provided one or both of them survive me. 2 follows: The remainder of my estate shall be divided into equal shares and distributed as 1. Two (2) such equal shares unto ZION LUTHERAN CHURCH, 15 South Street, Harrisburg, Pennsylvania. 2. One (1) such equal share unto ROSALIN DeMARCO, Camp Hill, Pennsylvania, provided she survives me. 3. One half(I/2) such equal share unto THE HUMANE SOCIETY OF THE HARRISBURG AREA, INC., 7790 Grayson Road, Harrisburg, Pemasylvania. 4. One (1) such equal share unto KENNETH B. CONNER, M.D., Camp Hill, Pennsylvania, provided he survives me. ARTICLE VI I direct that all estate, inhehtance, transfer and other taxes of similar nature payable by reason of my death, together with any interest or penalties thereon, and imposed with respect to anY property, whether or not disposed by this Will, shall be paid out of the residue of my Estate. I further direct that any and all such taxes shall be paid from and be deducted from my residuary estate prior to the calculation of the shares of the residum-y beneficiaries, so that each residuary beneficiary, charitable or not, shall bear a portion of the burden of such taxes. ARTICLE VII I nominate, constitute and appoint ROBERT REGA, Executor of this my Last Will and Testament, and to make distribution of my estate in cash or in kind, or partly in cash and partly in kind and in such manner as he may determine. I authorize, empower mad direct my Executor to sell and convey, by good and sufficient deed, in fee simple estate, may and all of my real estate, at public or private sale, for such price or prices, upon such terms and conditions, as in his judgment is best for my estate, and to that end to sign, seal, execute, acknowledge and deliver all deeds or other instruments necessary therefor, as effectively as I could do ifI were personally present. In the event that ROBERT REGA fails to qualify or ceases to so act, then I nominate, constitute and appoint KENNETH B. CONNER, M.D., Alternate Executor. ha the event that B. CONNER, M.D., fails to qualify or ceases to so act, then I nominate, constitute and appoint ALLFIRST TRUST COMPANY OF PENNSYLVANIA, N.A. alternate Executor to complete the administration of my estate. I direct that no fiduciary appointed herein shall be required to post bond for the faithful administration of the duties required in any jurisdiction. TNESS WHEREOF, I have hereunto set my hand and seal, this Z~_~-~ day of ~ ,2000. Signed, sealed, published and declared by the above-nanued Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. 4 ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA · coUNTy OF CUMBERLAND · SS We, Gladys M. Keefauver, ~.~¥,~..~ ~. ---~--.c.. ~ and ~ ,.,,,.a__._.. '%,,-,.'-w .~,.,-~,,._._~ the Testatrix and the wimesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly and that she executed it as her fi'ee and voluntary act for the purposes therein expressed, und that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as wimess and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Witness Witness Subscribed, sworn to and acknowledged before me by Gladys M. Kee£auver, Testatrix, and subscribed and sworn to before me by '~t~ Y'q. ~ ~ and '~'~,t..~..-~ ~.'~ j,~,..,.~ witnesses, this "~'03'tXday of ~'-~V',~ ,2000. Notary Public ',,."~ NOTARIAL SEAL DIANNE LENIG, Notary Publi,, [emo~e Borough Cumbeda.i~'i% ~ Commission Expires Der:i 2 EXHIBIT B A, Settls,'~int Statement B. Type of Loan U.S. Department of Housin~ and Urban Development 'F OMB No. 2502-0205 1. J--] FHA2. ~'-] FmHA 3: ~ ~ I 3 (~mers On.t.v) C. NOTE:~Is fo~ ~ ~;,~ to gl~ ~u a ~ ~ a~ual ~,,[ ~. ~oun~ p.~ to and by the seffi~ent agent am sho~. Items marked "p.o.c" w~re paid outside of dosing; they ere ahown here for Infomlatlonal purpo~%i and are not Innh,H-d in the totals. LO~TION: ~mo~e, PA I. 8~LEME~ DATE: O7~f~g ~ClSSlON DATE: d. 101. 102. Pemonsl Pmpen'y ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: 107. CouniyT~ 07/2.2/2003 to 12/31/2003 111. 1~1o. 120. GROSS AMOUNT DUE FROM BORROWER: 200. ~ 201. De~x~ll o1' earnest morley 203. Exl~ng k:?n($) taken ~u~act to 2~4. 205. 207 209. -" - ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: 213. 214. 215. 216. .~- :~. _ 218. 220. TOTAL PAID BY/FOR BORROWER: ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: 407. County Taxe~ 07/21/2003 to 12/31/2003 $12¢. 8; 4O9. Trax. h ~__ $26.6~ 411. ~412. $92,0~9.9~ 420. GROSS AMOUNTDUE TO RFI~ ~R: $5,000.00 ~05. Payoff of ~enend _m~age lean 009. ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: ~1o. c,~o~. _t~x. to 512. As~s~ments to 514 616. 518. 520. TOTAL REDUCTIONS $90,818,71 $5,000.0¢ PAGE OMB No. 2502-026~ 700. TOTAL SALES/BROKER'S COMMISSION BA~ED ON PRICE $89,900 o 00 5.5 %, $4,944.50 DMSlON OF COMMISSION (LINE 700) AS FOLLOWS: Tm. ~:J(f~ .. ~'' '--'~'/'~"~'"~ ~.'~*~'~-%..zm=.-.- 7~. ~o. oo bo2. Mme,~., mum.ce pmma=m'--~-- mo,. = ' e ' PAID FROM BORROWER'S FUNDS AT SETTLEMENT PAID FROM SELLER'S FUNDS AT SE'I-FLEMEr $4,944. $125, 1109. Ll~lter I ~ 1110. OW~ai'ii.r. _ - ( 1111 1113. 1 00~~:- :. A-' _ -.N_---~-:_- ;:_: · t ~2. Clty/ee~.r~v ta~,tarrem: Da~ $1. 798. O0; M~e, 1400. TOTAL SETTLEMENT CHARGES have caretoIly ~.;%--.-.~ ~ the HUD-1 S~'.:=,,,=,,~ Sta;a,,~,,[ end to the be~t of my knowledge and belief, it is e trna end acoJrate statement of all receipts and disbursements made o~ my account or by~l,'lf~nsactloD/ I furlher cedify that I have received a copy of the HUD-I Settlement Statement. _~ ,~'7 :zl D Seller or ~/7~1~ ~-,.~L~,~. ~..,~k-..~L....~ : / / Agenl: - ~J.2<~ '~.'u7 /- ,~V c~ , Date: 7K'? 7~L~ ~m~, of Gladys M. ~efauver by Robe, · Caroly~Akke Rothman t: · uaw: ~ / Agerl[: y ' Date: .. ..__ .=, o, ,.. = mWeAn LR NFIoNr ~ te~l~e:=~l~::i: n~ sWl:Cg ~od: a:e~ol: el =~e=:n:e:lot nndlUO ;~ Stat .... Ihi ..... y other similar ,on~./~ehnllaj~r/e sJ'upPonY'~nnvthc~j~nScaq~/irrFc?ucla a fi ne and impHsorl- EXHIBIT C ,CORDIER TIQUES ~ fi~e art Appraisal Report Estate of Gladys M. Keefauver 316 Old Fort Road Lemoyne, Pennsylvania 17043 Prepared for: Mr. Robert Rega, Executor 675 Mr. Pleasant Road Ruffsdale, Pennsylvania 15679 Prepared by: David J. Cordier Erica S. Wineske Cordier Antiques & Fine Art 2201 Market Street Camp Hill, Pennsylvania 17011 Phone: (717) 731-1740 Fax: (717) 731-9830 Member: Certified Appraisers Guild of America d d d Table of Contents Title Page Table of Contents Summary Analysis Conditions of Appraisal Certification Purpose of Report Method of Valuation Definition of Value Basis of Appraisal Description Appraiser Qualifications Value Listings · Page: 2 of 8 1 2 3 4 5 5 6 6 6 6 6 7 Appendix A Summary On May 14, 2003, at the request of Mr. Robert Rega, Executor, ! personally inspected the assets of Estate of Gladys M. Keefauver, 316 Old Fort Road, Lemoyne, Pennsylvania. Value Fait' Market Value The Fair Market Value for the property in total is: $1,035.00 This is not the appraisal report. The appraisal report must be read in its entirety. Page: 3 of 8 Analysis II Condition The items viewed in this Appraisal Report were in good condition. Local Market ~The local market for East Indian furniture is very weak. The Anglo-Indian table would probably have a considerably higher value if appraised in England or India. ! ! I I Page: 4 of 8 I I I Conditions of Appraisal The value stated in this Appraisal Report is based on the best judgment of the appraiser given the facts and condition available at the date of valuation. The use of this report is limited to the purpose of determining the value of personal property for Estate Tax purposes. Any additional research of testimony required by the client or the court will be billed at the current rates. Disclosure of the contents of the report is governed by the Standards and Practices of the Certified Appraisers Guild of America. Certification of Report Neither David J. Cordier, Erica S. Wineske, Cordier Antiques & Fine Art nor any of its employees have any present or future interest in the subject property. No prohibited fee was assessed for this report. David J. Cordier and Erica S. Wineske of Cordier Antiques & Fine Art have successfully completed the personal property appraiser certification program with the Certified Appraisers Guild of America and are members in good standing. This report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice and with the Standards and Practices of the Certified Appraisers Guild of America which has review authority of this report. David J. Cordier and Erica S. Wineske have personally examined the subject property. The statements of fact contained in this report are true and correct to the best knowledge and belief of the appraisers. B~.'I~avid J. Cordier, ~..~ Cordier Antiques & Fine Art Erin S. Wineske, C.A.G.A. Cordier Antiques & Fine Art Page: 5 of 8 d d d d d d d d Purpose of the Report The purpose of this report is to determine the value for Estate Tax purposes for P. ega. Method of Valuation The method of valuation used for this appraisal is the Fair Market Value. Definition of Value Fair Market Value Under the United States Treasury regulation 1.170-1c Fair Market value is defined as: The price at which the property would change hands between a willing buyer and a willing seller, neither being under compulsion to buy or compulsion to sell and both having reasonable knowledge. Basis of Appraisal Valuation Date The date of valuation for determining the value estimation is May 14, 2003. Date Appraisal Conducted This appraisal was conducted on May 14, 2003. Limitations of Property There were no limitations on use or disposition of tiffs property. Description An itemized list with descriptions is in Appendix A. Page: 6 of 8 I I ! I I I I I I I I I ! I ! I I I I Cordier Antiques & Fine Art Cordier Antiques & Fine Art was established in 1984. The company specializes fl~ appraisals of antiques, fine art and personal property, estate liquidations and tho purchase and sale of fmc antiques and art. Cordier Antiques & Fine Art maintains membership in the Certified Appraisers Guild of America, The ga~tiques and Collectibles Dealers Association, Inc., The Dauphin County Historical Society, The Cumberland County Historical Society, The Friends of Pennsylvania State Museum, The Antique Dealers Association of Pennsylvania, The Capital Region Antiques Dealers Association and the National Association of Watch and Clock Collectors. Cordier Antiques & Fine Art has conducted appraisal clinics for such orgauizafions as The Harrisburg Area Community College's Older American Days, The Questers, Rohrer Bus Antiquing Road Show Tour, Millersburg Historical Society, Friends of Fort Hunter, West Shore Country Club and The Friends of the Pennsylvmfia State Museum. Cordier Antiques & Fine Art is an underwriter of The Antiques Road Show on WITF, public television. David J. Cordier~ C.A.G'A David J. Cordier is co-owner of COrdier Antiques & Fine Art located in Camp Hill, PA. Mr. Cordier has been an antiques and jewelry dealer since 1980 and an appraiser since 1990. David Cordier of Cordier Antiques & Fine Art has successfully completed the persomal property appraiser certification program with the Certified Appraisers Guild of America. Mr. Cordier is a graduate of Winterthur Museum's Winter h~stitate, a graduate level program in American Decorative Arts. David Cordier has attended classes in appraisal studies in the fine and decorative arts at George Washington University, Washington D.C. mad the appraisal studies program at New York University, New York. Mr. Cordier studied the arts and decorative arts in Pennsylvania at Penn State University and holds a Master's degree in Business Administration from Penn State Capital Campus. Mr. Cordier writes a bi-weekly feature colmm~, "Eye on Antiques", for Harrisburg's Daily paper, The Patriot News, which focuses on antiques and related events in central Pemasylvania. Erica Shea Wineske, C.A.G.A. Eriea Wineske joined Cordier Antiques and Fine Art in February of 2002. Ms. Wineske holds a Bachelor's degree in Arts Management from Lebanon Valley College where she studied art lfistory and business management. Ms. Wineske has successfully completed the personal property certification program with the Certified Appraisers Guild of America and is currently taking graduate classes in Appraisal Studies at New York University. In November of 2003, Ms. Wineske completed the Uniform Standards of Professional Appraisal Practice CLISPAP) course in conjunction with the Appraisers Association of America. Erica Wineske is a graduate of the Harrisburg Area Community College Auctioneer's Program and is a licensed Pennsylvama Auctioneer and member of the Pem~sylvania Auctioneer's Association. She is also an active member of the American Business Women's Association and the Harrisburg Young Professionals. Ms. Wineske has worked as a tour guide and exhibit worker at the Suzanne H. Arnold Gallery at Lebanon Valley College and has worked at Forma's Auction Company and Gallery in Annville, PA, The Classic Edge Auction Company of Manheim, PA and Boltz and Snider Auction Company in Lancaster, PA. Page: 7 of 8 ! ! Fair Market Value 1. $950.O0 2. $85.00 $1,035.00 Appendix A Anglo-Indian Center Table, 30-1/2" high x 35" round diameter. Carved 2" wide floral band at border of table and imricate geometric designs overall, Center of table top with 14" cartouche with carved figures, possibly deities at center. Rests on three legs with elephant head at knee, Each with two 4" long ivory or bone tusks and ending in elephant trunk leg. Anglo-Indian, Early 20th century. Tea Set, Service includes: (1) 7-1/4" high lidded tea pot, (1) 5-1/2" lfigh Iidded double handle sugar, (1) 4-1/4" high creamer, (6) Cups and Saucers and (6) 7-1/2" diameter dessert plates. Exterior with yellow lustre base and blue lustre band at rim accented with gilt scroll design, imerior lustre. Base marked "Hand painted, Made in Japan". Early 20th century. Total Page: 8 of 8 EXHIBIT D ! I I Estate of Gladys Keefauver Live Auction Household/Antique (6/18/03) Gross Commission (35%) Net Due Consignor hcome Intemet Sales Gross Commission (35%) Net Due Consignor Income to Estate Expenses Packing Fee Appraisal Fee (see attached Invoice), Total Expenses Settlement Income: Expenses: Net Due Consignor $4605.46 $ 175.00 $4834.00 $1691.90 $2251.33 $ 787.97 $ 100.00 $ 75.00 $3142.10 $1463.36 $4605.46 $ 175.00 $4430.46 EXHIBIT E CO IER TIQUES art Appraisal Report Estate ofGladys M. Keefauver 316 Old Fort Road Lemoyne, Penn~lvania 17043 Mr. Robert Rega, Executor 675 Mr. Pleasant Road Ruffsdale, Penn~lvania 15679 Prepm~l by: David J. Cordier Eric. S. Wineske Cordier Antiques & Fine Art 2201 Market Street Camp Hill~ Pennsylvania 17011 Phone: (717) 731-1740 Fax: (717) 731-9830 Member:. Certified Appraisers Guild of America Table of Contents Title Page Table of Contents Sutmnary Analysis Conditions of Appraisal Certification Purpose of Report Method of Valuation Definition of Value Basis of Appraisal Description Appraiser Qualifications Value Listings 1 2 3 4 5 5 6 6 6 6 6 7 Appendix A Page: 2 of 8 Summary On May 14, 2003, at the request of Mr. Robert Rega, Executor, I personally inspected the assets of Estate of Gladys M. Keefauver, 316 Old Fort Road, Lemoyne, Pennsylvania. Value Fair Market Value The Fair Market Value for the property in total is: $550.00 This is not the appraisal report. The appraisal report must be read in its emirety. Page: 3 of 8 Analysis Condition The items viewed in this Appraisal Report were in good condition. Page: 4 of 8 i Conditions of Appraisal The value stated in this Appraisal Report is based on the best judgment of the appraiser given the facts and condition available at the date of valuation. The use of this report is limited to the purpose of determining the value of personal property for Estate Tax purposes. Any additional research of testimony required by the cliem or the court will be billed at the current rates. Disclosure of the coments of the report is governed by the Standards and Practices of the Certified Appraisers Guild of America. Certification of Report Neither David J. Cordier, Erica S. Wineske, Cordier Antiques & Fine Art nor any of its employees have any present or future interest in the subject property. No prohibited fee was assessed for this report. David J. Cordier and Erica S. Wineske of Cordier Antiques & Fine Art have successfully completed the personal property appraiser certification program with the Certified Appraisers Guild of America and are members in good standing. This report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice and with the Standards and Practices of the Certified Appraisers Guild of America which has review authority of this report. David J. Cordier and Erica S. Wineske have personally examined the subject property. The statements of fact contained in this report are true and correct to the best knowledge and belief of the appraisers. By: ~avid J. Cordier, C.A.G.Ai Cordier Antiques & Fine Art Erica S. Wineske, C.A.G.A. Cordier Antiques & Fine Art Page: 5 of 8 Purpose of the Report The purpose o£this report is to determine the value for Estate Tax purposes for R. ega. Method of Valuation The method o£valuation used £or this appraisal is the Fair Market Value. Definition of Value Fair Market Value P Under the United States Treasury regulation 1.170-1c Fair Market value is defined as: The price at which the property would change hands between a willing buyer and a willing seller, neither being under compulsion to buy or compulsion to sell and both having reasonable knowledge. Basis of Appraisal Valuation Date The date o£valuation for determining the value estimation is May 14, 2003. Date Appraisal Conducted This appraisal was conducted on May 14, 2003. Limitations o£Property There were no limitations on use or disposition o£this property. Description An itemized list with descriptions is in Appendix A. P Page: 6of8 I I I I I I Cordier Antiques & Fine Art Cordier Antiques & Fine Art was established in 1984. The company specializes m appraisals of antiques, fine art and personal property, estate liquidations and the purchase and sale of fmc antiques and art. Cordier Antiques & Fine Art maintains membership in the Certified Appraisers Guild of America, The Antiques and Collectibles Dealers Association, Inc., The Dauphin County Historical Society, The Cumberland County Historical Society, The Friends of Pennsylvania State Museum, The Antique Dealers Association of Pennsylvania, The Capital Region Antiques Dealers Association and the National Association of Watch and Clock Collectors. Cordier Antiques & Fine Art has conducted appraisal clinics for such organizations as The Harrisburg Area Community College's Older American Days, The Questers, Rohrer Bus Antiquing Road Show Tour, Millersburg Historical Society, Friends of Fort Hunter, West Shore Country Club and The Friends of the Pennsylvania State Museum. Cordier Antiques & Fine Art is an undemaSter of The Antiques Road Show on WITF, public television. David J. Cordier~ C.A.GA David J. Cordier is co-owner of Cordier Antiques & Fine Art located in Camp Hill, PA. Mr. Cordier has been an antiques and jewelry dealer since 1980 and an appraiser since 1990. David Cordier of Cordier Antiques & Fine Art has successfully completed the personal property appraiser certification progrm with the Certified Appraisers Guild of America. Mr. Cordier is a graduate of wmterthur Museum's Winter Institute, a graduate level program in American Decorative Arts. David Cordier has attended classes in appraisal studies in the fine and decorative arts at George Washington University, Washington D.C. and the appraisal studies program at New York University, New York. Mr. Cordier studied the arts and decorative arts in Pennsylvania at Penn State University and holds a Master's degree in Business Administration fi'om Penn State Capital Campus. Mr. Cordier writes a bi-weekly feature column, "Eye on Antiques", for Harrisburg's Daily paper, The Patriot News, which focuses on antiques and related events in central Pennsylvania. Erica Shea Wineske, C.A.G.A. Eriea Wineske joined Cordier Antiques and Fine Art in February of 2002. Ms. Wineske holds a Bachelor's degree in Arts Management bom Lebanon Valley College where she studied art history and business management. Ms. Wineske has successfully completed the personal property certification program with the Certified Appraisers Guild of America and is currently taking graduate classes in Appraisal Studies at New York University. In November o£ 2003, Ms. Wineske completed the Uniform Standards of Professional Appraisal Practice (USPAP) course in conjunction with the Appraisers Association of America. Eriea Wineske is a graduate of the Harrisburg Area Community College Auctioneer's Program and is a licensed Pennsylvama Auctioneer and member of the Pennsylvania Auctioneer's Association. She is also an active member of the American Business Women's Association and the Harrisburg Young Professionals~ Ms. Wineske has worked as a tour guide and exhibit worker at the Suzanne H. Arnold Gallery at Lebanon Valley College and has worked at Forma's Auction Company and Gallery in Annville, PA, The Classic Edge Auction Company of Manheim, PA and Boltz and Snider Auction Company in Lancaster, PA. Page: 7 of 8 Fair Market V',due $550.00 $550.00 Appendix A Bedroom Suite, Six Pieces. Imerior of drawer with label "Willett Solid Lancaster County Maple". Includes: (1) Wall Mirror, 36" x 27" overall with 27" x 19" mirror, fi-amed in 4" wide bracket frame; (1) Chest of Drawers, 35" high x 45" wide x 21" deep, Four graduated dove tailed drawers, bracket feet; (1) Chest of Drawers, 43" high x 43" wide x 20-3/4" deep, One long drawer over three drawers over three graduated drawers; (1) Gentleman's Mirror, 20" high x 20-1/4" wide x 8" deep with 11-1/2" x 15-1/2" swivel mirror and single lower drawer; (1) Bed, headboard: 43" high, Footboard: 35" high, Jenny Lind style with spool turned side supports; (1) Bed Table, 28" high x 20-3/4" wide x 18-1/2" deep. Single dove tailed drawer and lower shelf, Spool mined supports, Brass drawer pulls. 20th century. All pieces solid maple with Queen Anne style brasses and brass escutcheons. Includes: 53" wide mattress and box spring. Total Page: 8 of 8 Register of Wills of CUMBERLAND INVENTORY County, Pennsylvania Estate of Gladys M. KEEFAUVER also known as No. 00389 ~.~/- ~D.~- 3~9 Date of Death 04/26/2003 , Deceased Social Security No. 180 - 26 - 5419 Robert REGA, Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include alt of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/VVe verify that the statements made in this Inventory are true and correct. IA, Ve understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: I.D. No.: Edmund G. Myers 20558 Personal Representative Signature: '~'~~,~ ~ Ro6~rt REGA ~/ Signature: Address: P. O. Box 109 Address: P.O. Box 675 Lemoyne, PA 17043-0109 717/761-4540 Ruffs Dale, PA 15679 Telephone: Telephone: 724/696-3902 Dated: Description (See continuation page(s) attached) (Attach additional sheets if necessary) ·: Value Total: 215,062.15 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item. but such figures should not be extended into the total of the inventory. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form #RW-7 (199Z) Estate of: Date of Death: County: INVENTORY Gladys M. KEEFAUVER 04/26/2003 Cumberland CASH: Allfirst Bank Certificate of Deposit Account No. 8-000-000~2027266 Accrued income through date of death Allfirst Bank Certificate of Deposit Account No. 8-700-810-0657092 Accrued income through date of death Allfirst Bank Certificate of Deposit Account No. 8-700-810-0796181 Accrued income through date of death Allfirst Bank Relationship with Checking Account No. 00504-1713-4 Accrued income through date of death Allfirst Passbook Savings Account No. 87004912103756 Accrued income through date of death 10,000.00 2.21 10,000.00 1.96 10,000.00 6.45 27,955.50 3.47 35,834.64 61.95 -1- Comcast Cable Communications Refund on Account 09547-180661 Country Meadows Pharmacy Refund County Meadows - Room Refund Estate of Sylvia Crist Final Distribution under Will Estate of Sylvia Crist - Distribution of Allianz Annuity Metlife Auto and Home Economy Premier Assurance Insurance Company - Refund on Homeowners Residence located at 316 Old Fort Road, Borough of Lemoyne, Cumberland County, Pennsylvania. Wood & Myers Oral & Maxillofacial Surgery, P.C. Patient Refund 23.39 35.16 2,185.27 18,851.64 454.37 145.08 918.73 12.00 PERSONAL PROPERTY: Anglo-Indian Center Table. Appraised by Cordier Antiques & Fine Art. Personal Property of Decedent that was sold by Cordier Antiques and Fine Art by way of a live auction and internet sales. Tea Set. 950.00 7,085.33 85.00 116,491.82 -2- Willett Solid Lancaster County Maple 6 Piece Bedroom Suite. 550.'00 REAL ESTATE/PA: Residence located at 316 Old Fort Road, Borough of Lemoyne, Cumberland COunty, Pennsylvania. 89,900.00 8,670.33 TOTAL RECEIPTS OF PRINCIPAL ............... 89,900.00 215,062.15 -3- Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of GLADYS M. KEEFAUVER Deceased No. 21-03-0389 Social Security No. 180-26-5419 KENNETH B. CONNER, M.D. Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) Probate and Grant of Letters and aver that Petitioner is the alternate executor named in the Last Will of the Decedent, dated April 4, 2000 Robert Re.qa, Executor pursuant to the Letters Testamentary granted on May 6, 2003, died on November 19, 2003. Kenneth B. Conner, M.D. was named in the Decedent's Last Will and Testament as Alternate Executor State relevant circumstances, e.g. renunciation, death of Executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not to victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (d.b.n.c.t.a.: pendente lite; durante absentia; durante minodtate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in County, Pennsylvania, with her last family or principal residence at (List street, number and municipality) Decedent, then years of age, died at (Location) 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 ...................................................................................................................... $ Total ......................................................................................................... $ Real Estate situated as follows: Wherefore, Petitioner respectfully requests the grant of letters in the appropriate form to the undersigned: Signature ~, Typed or printed name and residence Kenneth B. Conner, M.D. 428 Candlewyck Road Camp Hill, PA 17011 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA ' COUNTY OF CUMBERLAND · The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personalz.cepresentative of the Decedent, Petitioner will well and truly administer the estate according to law. Sworn to and affirmed and subscribed / ,/¢'/~~/~/ KENNETH B. CONNER, M.D. Before me this ~ 7-/-/ day of ~')~_.-..~.,'~'~.~ ~ ,2003. No. 21-03-0389 Estate of Social Security No: GLADYS M. KEEFAUVER , DeCeased 180-26-5419 Date of Death: April 26, 2003 AND NOW, ~..~¢~J~J ,~D~, ,2003, in consideration 0f the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters ~ d.b.n.c.t.a.; pendente ire; durante absentia; durante minoritate are hereby granted to KENNETH B. CONNER, M.D. in the above estate and that the Letters Testamentary granted to Robert Rega are hereby revoked. FEES Letters ........................... Short Certificate(s) $ Renunciation .............. $ Affidavit ( ) .................. $ Extra Pages ( ) ....... $ Codicil ............................ $ JCP Fee ....................... $ Inventory ...................... $ Other .............................. $ TOTAL ......... $ Register of Wills Attorney: Edmund G. Myers I.D. No: 20558 Address: Johnson, Duffie, Stewart & Weidner, 301 Market Street, P.O. Box 109, Lemoyne, PA 17043- Telephone: 717-761-4540 ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-06G1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX EDMUND G MYERS JOHNSON ETAL PO BOX 109 LEMOYNE PA 17043 DATE 12-22-2005 ESTATE OF KEEFAUVER DATE OF DEATH 04-26-2005 FILE NUMBER 21 05-0589 COUNTY CUMBERLAND ACN 101 Amount Remitted GLADYS M MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF MILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KEEFAUVER GLADYS M FILE NO. 21 05-0589 ACM 101 DATE 12-22-2005 TAX RETURN NAS: C X} ACCEPTED AS FILED C } CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSF APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Rea/ Estate (Schedule A} (1) 2. Stocks and Bonds CSchedule B} ~. Closely Held Stock/Partnership Interest CSchedule C} 4. Mortgages/Notes Receivable (Schedule D} 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) &. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) C7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H} 10. Debts/Mortgage Liabilities/Liens (Schedule l) CIO) 11. Total Deductions 12. Net Value of Tax Return 89r900.00 .00 .00 .00 125r 162.15 .00 .00 21,415.65 NOTE: To insure proper credit to your account, submit the upper portion of thls form w/th your tax payment. 1.%. 14. NOTE: ASSESSMENT OF TAX: 15. Amount of L/ne 14 at Spousal rate 16. Amount of L/ne 14 taxable at Lineal/Class A rate 17. Amount of L/ne 14 at Sibling rate 18. Amount of L/ne 14 taxable at Collateral/Class B rate 19. Pr/nc/pal Tax Due TAX CREDITS: PAYMENT RECEIP~ DISCOUNT DATE NUMBER INTEREST/PEN PAID 07-22-2005 CD002858 688.28 215,062.15 ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. czs} .00 x O0 = .00 (i6). .00 x 045 = .00 c17} . O0 x 12 = . O0 c18} 91,770.75 x 15 = 15,765.61 cig}= 15,765.61 AMOUNT PAID 13,500.00 reflect figures that include the total of ALL returns assessed to date. TOTAL TAX CREDIT { 14,188.28 BALANCE OF TAX DUEI 422.67CR INTEREST AND PEN. I .00 TOTAL DUE J 422.67CR c IF TOTAL DUE IS LESS THAN 41, NO PAYMENT IS REQUIRED. [F TOTAL DUE IS REFLECTED AS A "CREDIT" CCR}, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.} Charitable/Governmental Bequests; Non-elected 911~ Trusts CSchedule J) C15) 92,098.80 Net Value of Estate SubSect to Tax C14} 91,770.75 If an assessaent uas issued previously, lines 14, 15 and/or 16, 17, 18 and 19 uill 9~778.97 c12] 185,869.55 RESERVATION= Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate ls transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life er for years, the Commor~ealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class 8 (collateral) rate on any such futura interest. PURPOSE OF NOTICE= PAYMENT: REFUND OBJECT[OHS= ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT= PENALTY: INTEREST= To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 25 of 2000. (72 P.S. Section 91q0). Detach the top portion of this Notice and submit with your payment to the Register of N/lls printed on the reverse side. --Make check or money order payable to: REG~S~.~I~ DF N~LLS, A~ A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-ISIS). Applications are available at the Office of the Register of Hills, any of the 25 Revenue District Offices, or by calling the special 2~-hour answering service for forms ordering= 1-800-$62-2050; services for taxpayers with special hearing and / or speaking needs= 1-800-~7-$020 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax Cincluding discount or interest) as sho~n on this Notice must object within sixty (&O) days of receipt of this Notice by= --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --elect/on to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN= Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three C5) calendar months after the decedent's death, a five percent C5~) discount of the tax paid is allo~ed. The 15X tax amnesty non-participation penalty is computed on the totaI of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning w/th first day of delinquency, or nine C9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (&X) percent per annum calculated at a daily rate of .00016~. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2005 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Yea.~r Rate Factor Year Rate Factor 1982 20X .0005~8 1987 9~ .000247 1999 7X .000192 1985 I&X .000~58 1988-1991 11X .000501 2000 8~ .000219 198~ 11X .000501 1992 9X .0002~7 2001 9~ .0002~7 1985 15X .000556 I995-199~ 7X .000192 2002 &X .00016~ 1986 10~ .00027~ 1995-1998 9~ .0002~7 2005 5X .000157 --Interest is calculated as follows: INTEEBST = BALANCE OF TAX UNPAZD X NU~IBER OF DAYS DELTNI~UBN? X DATLY 1NTERF. S? FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen C15) days beyond the date of the assessment. If payment is made after the /nterest computation date shown on the Notice, additional interest must be calculated. BUREAU OF INDIVIDUAL TAXES TNHERTTAHCE TAX DTVTSTOH DEPT. 280601 HARRISBURG, PA 17128-0601 CONNONWEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE INHERITANCE TAX STATEHENT OF ACCOUNT REV-1607 EX &FP (01-05) ~_ Of DATE 02-02-Z004 '~ii~ ~ ~ \~Vi}~S ESTATE OF KEEFAUVER ' DATE OF DEATH 04-26-2005 FILE NUHBER 21 05-0589 EDNUND G HYERS '0~ FEB 27 P1 :OZ COUNTY CUN~ERLAND ACN 101 JOHNSON ETAL Amoun~ Remi~ed PO BOX 109 LENOYNE PA l~b~and Co., PA GLADYS N HAKE CHECK PAYABLE AND RENZT PAYNENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To /nsure proper crmdi~ ~o your account, submi~ ~hm upper por~:ion of ~hLs form wi~h your ~ax payment:. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1607 EX AFP (01-03) ~K INHERITANCE TAX STATENENT OF ACCOUNT ESTATE OF KEEFAUVER GLADYS H FILE NO. 21 05-0589 ACN 101 DATE 02-02-2004 THIS STATENENT TS PROVTDED TO ADVTSE OF THE CURRENT STATUS OF THE STATED ACN TN THE NANED ESTATE. SHONN BELON TS A SUHNARY OF THE PR/NC/PAL TAX DUE, APPL/CAT/ON OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLTCABLE, A PROJECTED TNTEREST F/OURE. DATE OF LAST ASSESSNENT OR RECORD ADJUSTHENT: 1Z-II-ZOO5 PRINCIPAL TAX DUE= ........................................................................................................................................................................................................................... PAYHENTS (TAX CREDITS): 15,765.61 PAYNENT RECEIPT DISCOUNT (+) DATE NUHBER INTEREST/PEN PAID (- ANOUNT PAID 688.28 07-22-2005 01-12-Z004 CD002858 REFUND .00 15,500.00 422.67- IF PA/D AFTER TH/S DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT 1S REQUIRED. ZF TOTAL DUE 1S REFLECTED AS A 'CREDIT' (CR), TOTAL TAX CREDIT 13,765.61 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGTSTER OF #ILLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: COMMON#EALTH OF PENNSYLVANTA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-IS15). Applications are available at the Office of tho Register of Hills, any of the 23 Revenue District Offices or from the Department's Z~-hour answering service for fores ordering: 1-800-361-Z050; services for taxpayers ~ith special hearing and / or speaking needs: 1-800-~q7-3010 (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 180601, Harrisburg, PA L7LZa-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid ~ithin three (3) calendar months after the decedant's death, a five percent (SI) discount of the tax paid is aLlo~ed. PENALTY: The LSZ tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (l) day from the date of death, to the date of payment. Taxes which became delinquent before January L, L98Z bear interest at the rate of six (6X) percent per annum calculated at a daily rate of .00016~. ALI taxes which became delinquent on and after January I, L982 will bear interest at a rate which wiIl vary from caIendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1981 through Z003 ara: Interest Daily Interest Daily Interest Year Rate Factor Year Rate Factor Year Rate Daily Factor 1982 201 .0005~8 1987 91 .O00Zq7 1999 71 .000191 1983 16Z .O00q3B 1988-1991 111 .00030i 2000 8Z .000119 I98q IZZ .00030I 1992 9Z .O00Zq7 ZOOI 91 .0002q7 1985 131 .000356 1993-199q 72 .000192 ZOOZ 62 .O0016q 1986 10Z .00017~ 1995-1998 9Z .0002~7 Z003 5Z .0001~7 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUI{BER OF DAYS DELI'NQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/15/2005 MYERS EDMUND G 301 MARKET STREET POBOX 109 LEMOYNE, PA 17043 RE: Estate of KEEFAUVER GLADYS M File Number: 2003-00389 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 4/26/2005 Your prompt attention to this matter will be appreciated. Thank You. ~~cerep 4 ,ffk,I,,"~...1 ~t~ j GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge uX STATUS REPORT UNDER RULE 6.12 Name of Decedent: GLADYS M. KEEFAUVER Date of Death: APRIL 26. 2004 Will No. 21-03-0389 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rule, 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 X No b. The separate Orphans' Court No. (if any) for the personal representative's Account is: c. parties of interest? Did the personal representative state an account informally to the Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: March 24, 2005 fb:d~~ JOHNSON, DUFFIE, STEWART & WEIDNER 301 Market Street P.O. Box 109 Lemoyne, P A 17043 (717) 761-4540 Capacity: Personal Representative (x) Counsel for Personal Representati ve c;) \ \ '; v{1