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Home My WebLink About04-0099 . Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of ROBERT B. ROSS, SR. No. ~\ - Q4-- qq also known as Deceased Social Security No. 331-36-1731 , Rebecca B. Ross and Robert B. Ross, Jr. Petitioner(5), who is/are 18 yesrs of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) m A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execu~ named in the Last Will of the Decedent, dated March 6, 1996 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 the victim of a killing and was never adjudicated incompetent: NO EXCEPTIONS D 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: I Name Relationship Residence I (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 2 Circle Drive, Camp Hill, Penns (list street, number and municipalityl Decedent, then ~ years of age, died January 26 ,2004, at 2 Circle Drive, Camp Hi 11, PA (location) Decedent at death owned property with estimated values as follows: ~~ 480,000 (If domiciled in PAl All personal property ................................................................$ (If not domiciled in PAl Personal property in Pennsylvania...............................................$ (If not domiciled in PAl Personal property in County.......................................................$ Value of real estate in Pennsylvania...................................................................................................$ ~~ Real Estate situated :;~~:i~'~~':"""2' "CIrcle' '1JrI ve';' ..Ciimp..H'i'II.... .... ..................... ...............................$ $600,000 Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Typed or printed name and residence Rebecca B. Ross Robert B. Ross, Jr. 600 Roosevelt Blvd. 333 Fellows Ave., 1st floor Apt. aG<g Syracuse, NY 13210 Form RW-l Page 1 of 2 (Cumberland County) - Rev. 9/92 22044 '" Oath of Personal Representative . Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and 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 Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed Rabe~ 19. ~. before me this ... ~D \..~ Rebecca B. Ross day a! t:n'~ ~^~ 20~ _ W K I - _ :1:l~ ~ . ~ Robert B. Ross, Jr. In. ~9i- ~~ No. ~\-Oa+" QC\ Estate of ROBERT B. ROSS. SR. Deceased Social Security No: 331-36-1731 Date of Death January 26. 2004 AND NOW,.;;}~ ~ ,2004 ,in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters rn Testamentary 0 of Administration d.b.n.c.t.; pendente lite; durante absentia; durante minoritate are hereby granted to Rebecca B. Ross and Robert B. Ross, Jr. in the above estate and that the instrument(s) dated March 6, 1996 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters.......................... . $'~\~,OO ~h_lli~ '~.--l.fi~~ Short Certificate(s).......... $ 31o . 00 Register of Wills ~ _ ~ Renunciation................. . $ Affidavit ( )..... ............ $ Extra Pages ( )............ $ lD .CO CodiciL........................ . $ JCP Fee........................ $ \D~ DC Attorney: David M. Watts, Jr. Inventory...................... . $ 1.0. No 42232 Other........................... . $ Address: c/o McNees Wallace & Nurick LLC 100 Pine Street, P.O. Box 1166 llarrisburg, PA 17106 IHi€i TOTAL............... . $Y?t.oo Telephone (717) 237-5344 Form RW.l Page 2 of 2 (Cumberland County) . Rev. 9/92 ~ c:l- d..- 04- H 1 O"i.RO"i REV 9',1{(, This is to certifY that the information here given is correctly copied from an original certificate of death d4ly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent tiling. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 ~~U I!~~ Local Registrar p 9825757 9 4~d/uta cJ ~ ~ ()t:f r No. ate H105_144 Rev. 1/91 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS TYPE/PRINT CERTIFICATE OF DEATH IN (Coroner) PERMANENT #29-200 SLACK INK NAME OF DECEDeNT IF... MiddIe,l.MQ SEX Robert B 2004 UNDER 1 YEAR BtRTHPLACE (City and - Ooyo ='~lD RACE. Am.rican Incian, Black. Whee. etc (Specil~) u.JH II E MARITAL STATUS. MatMd SURVIVING SPOUSE Nww Married. Widowed, (11 Wile. g'....e maiden name) Divorcec:l(SpecilYI ,..DI \.10 {2.QE 0 17c:llJ V.., ........ UVod" 6(\ 'S. T .... ,c 13.}IO '30, '30. MS CASE REFERRED 10 MEDICAl EXAMtNEAICORONER? 27, 2004 v.. 81 'NoD ... I Approximate PART II: Other atoNficant conditiOns contributing 10 dtalh. but .-- not rQUttlng mUte underlying caUM gfYen in PART t. ! DnMt and duIh Occlusive Coronary Artery Disease i Remote CABG, IDDM . DUE to (OA AS A CONSEQUENCE Of): , I .. DUE 10 (OR AS A CONSEQUENCE OF): I c. -._----- DUE ro (OA AS A CONSEQUENCE OF) .. WERE AUTOPSY FINDINGS MANNER OF DEATH DATE OF INJURY ANlABlE PRIOR 10 (Month, Day. Year) COMPlETION OF CAUSE ~ OFOEATH? Natural HomlciOe '1...0 No 0 Accident D Pending InvestiQation Suicide D Could not be determined ,... .Ib. ... CERTIFIER (Check only one) .CEATIFYlNQ PHYSICIAN (Physician certifying cause 01 death l'Itlen anolher physician has prO/loonced death and completed lIem 23) To the but of my kno....... dUlh occurred due to the ceueec.) and mannera. a.led. . . . . . . . . .. .......... ....... z w .PRONOUNCINQ AND CERTIFYIHQ PHYStclAH (Ph~sician born pronouncing death and certifying 10 cause 01 death) :il To Ihe but of my 111'10..... duth occurred at the time. d111e. and ptece,.... due to the ceuM(e) ancllMnMf" ..IM.. :rl 0 .MEDICAL EXAMINER/CORONER 0 On the ~ o1...mlnlUon and/or Inv..tlgatlon, In my opinion. daath occurred at the time, <Ulte, and place, and due to the clUM(a) end w m.nn.'.....ted.......,................................................................................ .......... :> 31a. " z REGIST [;21 f ~I 11,;t1 .J..(l A bOY -- -~--_..- _._-------------"- --...- .- . , j LAST WILL AND TESTAMENT OF ROBERT B. ROSS I, ROBERT B. ROSS, of the Township of East Pennsboro, County of Cumb- land and State of Pennsylvania, being of sound 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 other wills by me at any time hereto- fore made. 1. I direct that my Executors, hereinafter named, shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease. II. I give and bequeath unto my son, ROBERT B. ROSS, JR. my tapes, record collection, Hi Fi equipment, round oak 45 inch diameter table, my cherry chest of drawers and one half of my books. III. I give and bequeath unto my daughter, REBECCA B. ROSS, my mahogany roll top desk, oak hutch, cherry end table and one half of my books. IV. All the rest, residue and remainder of my estate, whether real, per- sonal or mixed and wheresoever situate, I hereby give, devise and bequeath in equal shares unto my issue, ROBERT B. ROSS, JR. and REBECCA B. ROSS, per stirpes. V. I hereby nominate, constitute and appoint my son ROBERT B. ROSS, JR. and my daughter, REBECCA B. ROSS, as Co-Executors of this, my Last Will and ~ - Testament. If either of them should predecease me, or otherwise fail to qualify or cease to act as such, then I appoint the other as my sole Executor. VI. No individual fiduciary hereunder shall be required to furnish bond or other security for the proper performance of his or her duties. VII. It is my desire that my Executors, herein named, utilize the services of WILLIAM A. YOCUM, Attorney at Law, for administering my estate. IN WITNESS WHEREOF, I, ROBERT B. ROSS, the Testator, have unto this my Last Will and Testament, set my hand and seal this -M:- J1?;J~ cl. . 1996. ~ (SEAL) I SIGNED, SEALED PUBLISHED and DECLARED by ROBERT B. ROSS, the above- named Testator, as and for his Last Will and Testament in the presence of us who have hereunto subscribed our names as witnesses at his request, in the presence of the said Testator and of each other. & --.. / ~ ~ <LIk'c~ /l.A 'LI.(4f/-, . '/'4~A2/ ACKNOWLEDGMENT AND AFFIDAVIT STATE OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) We, ROBERT B. ROSS, !3P;J1J/ff /JJ;t/llA and E/?/,h(J /PJ.--SOhJ , Testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and Page Two of Three Pages , . - . - . . .. , hearing of the Testator signed the will as witness and that to the best of their knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or u~ (SEAL) 'Te:&or dd (SEAL) . /^ /. f-,'4~ ~ ./ I ~/(h A/\~ lAss d (SEAL) . '//K-fj ~1~A2/ Witness SUBSCRIBED, sworn to and acknowledged before me by ROBERT B. ROSS, the Testator, and subscribed and sworn to before me by ;g f:; -j r I/f J4? ;:JJ/f''-~ ......, . f')t--~ 0.11 r- iP '13 day of J4'J .? t- C " and rl:JJhe ' witnesses, this , 1996. . a;~. Vd~ Notary Public NOTARIAL SEAL \IJLLU.r.' A. YOCUM, NOTARY PUBLIC CAioiP HILL BORO. ClW,BERLAND COUNTY MY COMMISSION EXPIRES JUNE 27, 1996 Page Three of Three Pages i McNEES WALLACE & NURICK LLC IIP'----~ 100 PINE STREET ~==_-,-c:;:;;;.~ c:.~~---,--.~,.~ P. O. BOX 1166 HARRISBURG, PA 17108 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: ROBERT B. ROSS, SR. Date of Death: January 26, 2004 Will No.: Admin. No.: 2004-99 To the Register: I certify that the Notice of Estate Administration required by Rule 5.6(a) of the Orphans' Court Rules W2.S mailed or delivered to the fo!lo'v^J!ng heirs and beneficiaries of the abc'.Je- captioned estate on -....i -+.-:, i Robert B. Ross, Jr. 333 Fellows Drive, 1 st Floor Syracuse, NY 13210 Rebecca B. Ross 600 Roosevelt Boulevard Apt. 88 Falls Church, V A 22044 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N/A. . \ r:j,;r'\ I Date: '-0 ,I - i \ ", \, ,,\ '.- . ,d "" , "",', , \. '. ! I David M. Watts, Jr., Est McNEES WALLACE & . URICK LLC 100 Pine Street, P.O. Box 1166 Harrisburg, PA 17108 (717) 237-53L1-4 Counsel for personal representative "- \/" r . - h P . . '. , i::"'" n > )> en 3: t-3 "ll W :E :-0 :<::: J:O~_ 0 H - 0 r 1:1:1 t-' r - r t%j t-' r3:o- :-0 "ll )> ::c :l> t-3 ~ fT1 ::c Z ~ 0 Z ;lI; fT1 :l> 1:1:1 '"Xj t::l Z -< . oo~~~ t-3 -<00 0 :-0 t%j !;: -l ~ 0 0 en )>::C:eC en t-3 Z fT1 ~ en ~ > ~ t%j -..J Z g t-3 r;;> ..p.. L_ :::D' c_ 0> 0 -;'.) -+>- - \Q AVfr McNees Wallace & NurickLLc attorneys at law LINDA M. ESHELMAN ESTATE PARALEGAL DIRECT DIAL: (717) 237-5210 E-MAIL ADDRESS: LESHELMAN@MWN.COM April 23, 2004 VIA CERTIFIED MAIL Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Dr ~ ;; (':,~ ::u :::l -"" 0 c :;p RE: ESTATE OF ROBERT B. ROSS, SR. -0 :;:0 Cumberland County File No.: 2004-99 N Department of Revenue No.: 21-04-0099 0'\ Our file: 22195-0001 v N Ladies and Gentlemen: 0 VJ Enclosed is a check for the above-referenced estate's three (3) month inheritance tax payment. Thank you. Your truly, \Wet V VuJ- Estate Paralegal LME/lme Enclosure c: Rebecca B. Ross Robert B. Ross, Jr. p.o. Box 1166 . 100 PINE STREET. HARRISBURG, PA 17108-1166. TEL: 717.232.8000. FAX: 717.237.5300. WWW.MWN.COM HAZLETON, PA . STATE COLLEGE, PA . COLUMBUS, OH . WASHINGTON, DC COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYL VANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 003866 WATTS DAVID M JR 100 PINE ST P.O. BOX 1166 HARRISBURG, PA 17108 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fOld ---------- ------.- 101 I $15,000.00 -. - ESTATE INFORMATION: SSN: 331-36-1731 I FILE NUMBER: 2104-0099 I DECEDENT NAME: ROSS ROBERT B SR I DATE OF PAYMENT: 04/26/2004 I POSTMARK DATE: 04/23/2004 I COUNTY: CUMBERLAND I DATE OF DEATH: 01/26/2004 I I TOTAL AMOUNT PAID: $15,000.00 REMARKS: CHECK# 001707 INITIALS: JA SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS r : .....~t~-.~. ~ * ~ ~ ..===' * 1053 U.S. POSTAGE PB2229642 6758 $04.420 APR 23 04-- . 0-::; 0261 1 7 1 0 1 - .;..:: - "'.... ~ - - - "'-':---,. ') ! . .c: .- ::-:: . . I . ') ':' ( ~ - \~(' .: / - CI.l ,~..~I H ~ '\. \" .f :::> ,-...,.-...-"" 0 :I: c ~ w 5~ t; w u~ ::::> >-:::> ~ 0 -:: E-<O' .- w -CI.l5C1.l a: :....:l ~ ~ Ii: -=....:l 0 CI.lo f';' '" -::-U:::>r- ~ ii:i :~Clo- ('.\ ~ I') ~ 0 -=C;Z~~ ~ w = ~ p.. I') a: =~~~~ '. ~ -'. f' z I') a: -::E-<~OCl.l .,..J e ~ :CI.l~U- 0 =G:E~~ : ~:::> z ~ I'" a: -= UOU or" ~ <D <D cO 0 ~~ t::: .::t.~ ~ \'-J 1::: U~ c5 ''1 .- c 0: L.. ~ :> :Jg <Xl r/) Z'" ;;: ~ c 7~ C1dV VO, c(l I L I. . f- 0 Q) w w w f- U 0: en f- W cO (/) ::> ""98 w 0 ~ z IU a: ~.. ,:,)3ij 0 w ~ CJ :;: Ul . 0:: <D w ~~ <D (/) ~ en 1') en w III 0:: ~~ 0 c5 0 a: <( on, W <I: 0 I t.::) > "-" <r ....... 0) t;:; 0(0.0..... q-~ ~ccr:'V' .z -to .....::::>CN:::J -=::::r-OO lJ:ZNNO c via.UNI--~ -E:A-g . Vl u ::> --' " _~r --' I o of <r u. ~ ~ ~ - ~g l1m.;1..'1 n ') ., ~ .n.1..0 ,: .1,... . _.t- ./ _, ._' ( , ~.~ {i S;s " ti~ Q Q ~" Q .~ ~~ Q) rJ) :J 0 .r: - t - :JQ)I'- O~OO U<llC') :JC') ..Jl ~O'dl - .., crn.... ..Jl rJ):JQ)O Tn -OrJ)1'- =O~.... "> ' I"- >-0 <( ..Jl .., -Cta.. o <ll '" .., '- -::::J _ Q)CiiOQ) (} U') -.cUe;; r'l rJ) ._ f'} '0 E Q)-': Cl Q):JC<ll '" Cl a:UOU I" Cl I" Cl ... ::r I" Tn .. (} rr l" rr .. Cl '- 1("- a.. - L...Ic::;) ~L...I L...I'- =u.> L...I ~ :;:, =0 , I ;Z lc :::JL...I (,0 '-= L...I ~ J'J4,!lfab ~~ "?D100al:J =S!~ J!~~ ~i~ ~~. ~~~ ~ -,- - - I I I _..~" _.-.- ~_.... . _._...~ I I I I - REBECCA B. Ross CO-EXECUTOR DAYTIME PHONE NUMBER: (703) 533-4401 E-MAIL ADDRESS: RROSS@TAX.ORG October 22, 2004 VIA CERTIFIED MAIL Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013-3387 RE: Estate of Robert B. Ross, Sr. Cumberland County File No.: 2004-99 Ladies and Gentlemen: Enclosed is a check to the Register of Wills, Agent. The check is a payment on account of the above-referenced estate's inheritance tax. For your information, the estate has requested an extension of time to file its inheritance tax return. Thank you. Yours truly, ~ /).~ Rebecca B. Ross Co-Executor of the Estate of Robert B. Ross, Sr. 600 Roosevelt Blvd. Apt. G-8 Falls Church VA 2~ g .- "..., Enclosure = c-;J -l N Ul -'J r." - w COMMONWEALTH OF PENNSYLVANIA REV~1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 004546 ROSS REBECCA B 600 ROSEVELT BLVD APT G8 FALLS CHURCH, VA 22044 ACN ASSESSMENT AMOUNT CONTROL NUMBER _n_u__ fold n__n__n __nu__ 101 I $17,300.00 ESTATE INFORMATION: SSN: 331-36-1731 I FILE NUMBER: 2104-0099 I DECEDENT NAME: ROSS ROBERT B SR I DATE OF PAYMENT: 10/25/2004 I POSTMARK DATE: 10/22/2004 I COUNTY: CUMBERLAND I DATE OF DEATH: 01/26/2004 I I TOTAL AMOUNT PAID: $17,300.00 REMARKS: CHECK#104 INITIALS: JA SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG, PA 17128-0601 Telephone October 26, 2004 .04 ,J; -1 r:2 :17 (717) 787-3930 FAX (717) 772-0412 David M Watts Jr - Attorney at Law Cl:l PO Box 1166 100 Pine Street Harrisburg Pa 171 08-1166 Re: Estate of Robert BRoss Sr File Number 2104-0099 Dear Sir or Madam: This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before 04-26-2005. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. Sincerely, /" 1/ r/:c/, . ',...<:.(.:--:.:____ ( !.i .t' It ,~( '-~_.'// \......-c..-^-.- //J /i ,~./ j . Claudia Maffei, SupePlilof Document Processing Unit Inheritance Tax Division ~ A ly'ft' McNees Wallace & Nurick LLC attorneys at law LINDA M. ESHELMAN ESTATE PARALEGAL DIRECT DIAL: (717) 237-5210 E-MAIL ADDRESS: LESHELMAN@MWN.COM April 25, 2005 VIA CERTIFIED MAil Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013-3387 RE: Estate of Robert B. Ross, Sr. Cumberland County File No.: 2004-99 Ladies and Gentlemen: Enclosed for filing in the above-referenced estate are the following documents: . Pennsylvania Inheritance Tax Return (2 originals). The Return shows a refund due of $189.17. . Inventory (2 originals) . Check for the $30 filing fee Please date-stamp the copies enclosed and return to our office in the stamped envelope provided. Thank you. LME/lme Enclosure cc: Robert B. Ross, Jr. Rebecca B. Ross p.o. Box 1166' 100 PINE STREET. HARRISBURG, PA 17108-1166 ' TEL: 717.232.8000' FAX: 717.237.5300. WWW.MWN.COM HAZLETON, PA . LANCASTER, PA. STATE COLLEGE, PA' COLUMBUS, OH . WASHINGTON, DC Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Robert B. RORR, Sr. No. 21-04-0099 known as Date of Death 1/26/04 , Deceased Social Security No. 331-36-1731 Personal Representative(s) of the above Estate, deceased. verify that the items appearing in the following inventory include all 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. IfWe verify that the statements made in this Inventory are true and correct. IfWe 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 pe~al Representativ;g ~ Attorney: David M. Watts, Jr. ho~ 1.0. No.: 42232 Address: McNees Wallace & Nurick LLC Dated ~ :JJ., ~ 60 S 100 Pine Street, P.O. Box 1166 HarrisburQ, PA 17108 Telephone: (717) 237-5344 Description Value SEE ATTACHED $ 689,634.32 ~ _ 1 ....- \..;::) Total: $ 689.634.32 (Attach Additional Sheets if necessary) 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. Form FfIN.7 (O.uphln County. Rev. 91921 uJ {A277079:} Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Robert B. RORR, Sr No. 21-04-0099 known as Date of Death 1/26/04 , Deceased Social Security No. 331-36-1731 Personal Representative{s) of the above Estate, deceased, verify that the items appearing in the following inventory include all 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/We verify that the statements made in this Inventory are true and correct. l!We 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 peft(~pt;ft: Attorney: David M. Watts, Jr. I.D. No.: 42232 Address: McNees Wallace & Nurick LLC Dated 1.(. ;12~DS- 100 Pine Street, P.O. Box 1166 Harrisburq, PA 17108 Telephone: (717) 237-5344 Description Value SEE ATTACHED $ 689,634.32 Total: $ 689,634.32 (Attach Additional Sheets if necessary) 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. Form RW.7 (Dauphin County - Rev. 9f921 {A277079:} Ross, Sr. Robert B. Estate Inyentory Valued as of Date of Death Cash & Cash Equivalents Citizens Bank Checking Account $ 3,604.00 Morgan Stanley Active Assets Money Market Account 3,058.70 The Patriot-News; Final Paycheck 9,079.14 Cash found in decedent's house 15.00 Cash found in Safe Deposit Box 115.00 Foreign Coins found in safe deposit box; Value based on , January 26 currency conversion rate to US Dollars 6.47 Travelers Checks 410.00 Total Cash & Cash Equivalents $ 16,288.31 No. of Shares Stocks 383.887 Abbott Laboratories $ 15,617.67 Dividend at Date of Death 94.05 575 AES Corp. 6,072.00 1,000 Amer Tech Ceramic Corp. 8,935.00 500 Avaya Inc. 7,657.50 300 EMC Corp 4,459.50 314.746 Emerson Electric Co. 20,532.46 104.427 Fannie Mae 8,188.64 212.537 Goodrich Corp. 6,728.92 200 Home Depot Inc. 7,211.00 302.229 IntI. Business Machines Corp. 29,831.51 500 Lyondell Chemical Co. 8,330.00 400 Morgan Stanley 23,826.00 Dividend at Date of Death 100.00 PagEl 1 (1 ) Estate Inyentory No,of Shares Stocks 1,500 Morgan Stanley Plus S&P 500 Index $ 16,770.00 578.924 Motorola Inc. 9,772.24 738.624 Nuveen Premium Inc. Muni Fd. 10,998.11 Dividend at Date of Death 59.09 204.426 Pepsico Inc. 9,508.88 547.504 Sara Lee Corp. 11,166.34 501.296 Technitrol Inc. 10,091.09 594.68 Van Kampen Tr. Inv. Grade Muni. 9,624.90 200 Walgreen 6,955.00 1 Walgreen Co. 34.78 Total Stocks $ 232,564.68 Par Value Bonds, Debentures & T -Bills u.s. Savings Bonds, Series EE; See attached list for detailed bond and valuation information $ 703.00 Total Bonds, Debentures & T-Bills 703.00 Tangible Personal Property 2000 Honda Accord EX V6; Valued per Nada.com $ 16,250.00 Personal Property; Estimated by Executors; Amount includes specific property devised to children in Items II and III of decedent's will 2,500.00 Total Tangible Personal Property 18,750.00 PagEl 2 (2) Estate Inyentory Miscellaneous AARP - Refund $ 17.46 Rite Aid Stock Security Settlement Payment 174.03 State Farm - Refund re homeowners insurance 277.84 U.S. Treasury - 2003 Income Tax Refund 211.00 U.S. Treasury - 2004 Income Tax Refund 1,649.00 Uncashed Check re real estate reimbursement 124.00 Upper Room - Subscription Refund 16.50 Total Miscellaneous $ 2,469.83 Real Property Real Estate located at 2 Circle Drive, East Pennsboro Township, Camp Hill, Pennsylvania $ 130,050.00 Total Real Property 130,050.00 No. of Shares Mutual Funds 1,875.683 American Investment Co. of America $ 55,689.03 2,212.499 American New Perspective Fund 56,175.35 3,279.561 Franklin High Yield Tax Free A 35,124.10 7,631.4 Van Kampen Equity and Income A 62,119.60 337.928 T. Rowe Price International Stock Fund 4,028.10 PagEl 3 (3) Estate Inventory No. of Shares Mutual Funds 624.264 American Century Mutual Fund $ 17,379.51 587.001 Oakmark Fund 22,634.76 271.326 Oakmark Select Fund 8,598.32 27,059.73 Vanguard Prime Money Market Fund 27,059.73 Total Mutual Funds $ 288,808.50 Total Inventory $ 689,634.32 Page 4 (4) 4th And Walnut Streets PO Box 12053 Harrisburg. PA 17108 roll-free 800 676 0673 ~ td 717 255 6666 Morgan Stanley fax 7172556651 ./ MSDW Inc. Cust. For Robert B. Ross Roth Converted IRA Dated 12/19/2002 410-019987-101 Beneficiary Designations: Rebecca B. Ross -- 50% Robert B. Ross, Jr. -- 50% Account Valuation as of January 26, 2004 Cash and Money Market Funds Shares NAV Value /Liquid Asset Fund 323.20 1.00 $323.20 Total Mutual Fund Value $323.20 Mutual Funds Shares NAV Value vMS American Opportunities Fund 0 405.016 22.26 $9,015.66 vMs Special Value Fund D 277.965 19.29 $5,361.94 ..MS International Value Equity Fund D 417.206 11.92 $4,973.10 ./Van Kampen Growth & Income A 544.901 18.70 $10,189.65 ---MSIF Tr. Ltd. Duration Inst 531.901 10.62 $5,648.79 vMSIF US Real Estate Port. A 280.489 18.37 $5,152.58 ...MSIF Tr. IntI. Fixed Inc. Inst. 402.076 11.16 $4,487.17 Total Mutual Fund Value $44,828.88 Total Account Value as of January 26, 2004 $45,152.08 THE PURCHASE DATES. AMOUNTS AND PRICES PROVIDED ARE FROM SOURCES CONSIDERED TO BE RELIABLE. BUT ARE NOT GUARANTEED AS TO ACCURACY. CHECK YOUR MONTHLY STATEMENT FOR VERIFICATION OF FIGURES Savings Bond Calculator All ~())je- mtt ~ -tr-- http://wwws.publicdebt.treas.govIBC/SBCPrice b~ G. Ros~ > ::Jr.) et-~, af, \')'\ct,.f l4A ~ s (p - 7 ) ';i;;j~1~l~{Bon~ $ '.>i' t(J;9:00.ooitli~ij', '~0;:,$14':).6.r~32 . 'X~}i~ 73.&1{ I~]~~~,~ ;/," " .iif~I!;' ~%', ~i>:H ~~~uHty 06/1992 EE $100 $50.00 $48.68 $98.68 6.00% 06/2004 06/2022 07/1986 EE 50 25.00 45.30 70.30 4.00% 07/2004 07/2016 07/1986 EE 50 25.00 45.30 70.30 4.00% 07/2004 07/2016 07/1986 EE 50 25.00 45.30 70.30 4.00% 07/2004 07/2016 08/1986 EE 50 25.00 43.92 68.92 4.00% 02/2004 08/2016 08/1986 EE 50 25.00 43.92 68.92 4.00% 02/2004 08/2016 08/1986 EE 50 25.00 43.92 68.92 4.00% 02/2004 08/2016 08/1986 EE 50 25.00 43.92 68.92 4.00% 02/2004 08/2016 08/1986 EE 50 25.00 43.92 68.92 4.00% 02/2004 08/2016 09/1986 EE 50 25.00 43.92 68.92 4.00% 03/2004 09/2016 09/1986 EE 50 25.00 43.92 68.92 4.00% 03/2004 09/2016 09/1986 EE 50 25.00 43.92 68.92 4.00% 03/2004 09/2016 09/1986 EE 50 25.00 43.92 68.92 4.00% 03/2004 09/2016 10/1986 EE 50 25.00 43.92 68.92 4.00% 04/2004 10/2016 10/1986 EE 50 25.00 43.92 68.92 4.00% 04/2004 10/2016 10/1986 EE 50 25.00 43.92 68.92 4.00% 04/2004 10/2016 10/1986 EE 50 25.00 43.92 68.92 4.00% 04/2004 10/2016 10/1986 EE 50 25.00 43.92 68.92 4.00% 04/2004 10/2016 11/1986 EE 50 25.00 37.06 62.06 4.00% OS/2004 11/2016 11/1986 EE 50 25.00 37.06 62.06 4.00% OS/2004 11/2016 11/1986 EE 50 25.00 37.06 62.06 4.00% OS/2004 11/2016 11/1986 EE 50 25.00 37.06 62.06 4.00% OS/2004 11/2016 12/1986 EE 50 25.00 37.06 62.06 4.00% 06/2004 12/2016 12/1986 EE 50 25.00 37.06 62.06 4.00% 06/2004 12/2016 12/1986 EE 50 25.00 37.06 62.06 4.00% 06/2004 12/2016 12/1986 EE 50 25.00 37.06 62.06 4.00% 06/2004 12/2016 12/1986 EE 50 25.00 37.06 62.06 4.00% 06/2004 12/2016 01/1987 EE 50 25.00 37.06 62.06 4.00% 07/2004 01/2017 I of 10 3/2/2004 9:25 Md Savings Bond Calculator hnp:/ /wwws.publicdebt.treas.gov/BC/SBCPri", 01/1987 EE 50 25.00 37.06 62.06 4.00% 07/2004 01/2017 01/1987 EE 50 25.00 37.06 62.06 4.00% 07/2004 01/2017 01/1987 EE 50 25.00 37.06 62.06 4.00% 07/2004 01/2017 02/1987 EE 50 25.00 36.20 61.20 2.80% 02/2004 02/2017 02/1987 EE 50 25.00 36.20 61.20 2.80% 02/2004 02/2017 02/1987 EE 50 25.00 36.20 61.20 2.80% 02/2004 02/2017 02/1987 EE 50 25.00 36.20 61.20 2.80% 02/2004 02/201 7 03/1987 EE 50 25.00 36.20 61.20 2.80% 03/2004 03/2017 03/1987 EE 50 25.00 36.20 61.20 2.80% 03/2004 03/2017 03/1987 EE 50 25.00 36.20 61.20 2.80% 03/2004 03/2017 03/1987 EE 50 25.00 36.20 61.20 2.80% 03/2004 03/2017 03/1987 EE 50 25.00 36.20 61.20 2.80% 03/2004 03/2017 04/1987 EE 50 25.00 36.20 61.20 2.80% 04/2004 04/2017 04/1987 EE 50 25.00 36.20 61.20 2.80% 04/2004 04/2017 04/1987 EE 50 25.00 36.20 61.20 2.80% 04/2004 04/2017 04/1987 EE 50 25.00 36.20 61.20 2.80% 04/2004 04/2017 05/1987 EE 50 25.00 35.74 60.74 4.00% OS/2004 OS/2017 05/1987 EE 50 25.00 35.74 60.74 4.00% OS/2004 OS/2017 05/1987 EE 50 25.00 35.74 60.74 4.00% OS/2004 OS/2017 05/1987 EE 50 25.00 35.74 60.74 4.00% OS/2004 OS/2017 06/1987 EE 50 25.00 35.74 60.74 4.00% 06/2004 06/2017 06/1987 EE 50 25.00 35.74 60.74 4.00% 06/2004 06/2017 06/1987 EE 50 25.00 35.74 60.74 4.00% 06/2004 06/2017 06/1987 EE 50 25.00 35.74 60.74 4.00% 06/2004 06/2017 06/1987 EE 50 25.00 35.74 60.74 4.00% 06/2004 06/2017 07/1987 EE 50 25.00 35.74 60.74 4.00% 07/2004 07/2017 07/1987 EE 50 25.00 35.74 60.74 4.00% 07/2004 07/2017 07/1987 EE 50 25.00 35.74 60.74 4.00% 07/2004 07/2017 07/1987 EE 50 25.00 35.74 60.74 4.00% 07/2004 07/2017 08/1987 EE 50 25.00 34.56 59.56 4.00% 02/2004 08/2017 08/1987 EE 50 25.00 34.56 59.56 4.00% 02/2004 08/2017 08/1987 EE 50 25.00 34.56 59.56 4.00% 02/2004 08/2017 08/1987 EE 50 25.00 34.56 59.56 4.00% 02/2004 08/2017 09/1987 EE 50 25.00 34.56 59.56 4.00% 03/2004 09/2017 09/1987 EE 50 25.00 34.56 59.56 4.00% 03/2004 09/2017 09/1987 EE 50 25.00 34.56 59.56 4.00% 03/2004 09/2017 09/1987 EE 50 25.00 34.56 59.56 4.00% 03/2004 09/2017 09/1987 EE 50 25.00 34.56 59.56 4.00% 03/2004 09/2017 2 of 10 3/2/200-19:25 A'. Savings Bond Calculator http://wwws.publicdebt.treas.gov/BC/SBCPrice 10/1987 EE 50 25.00 34.56 59.56 4.00% 04/2004 10/2017 10/1987 EE 50 25.00 34.56 59.56 4.00% 04/2004 10/2017 10/1987 EE 50 25.00 34.56 59.56 4.00% 04/2004 10/2017 10/1987 EE 50 25.00 34.56 59.56 4.00% 04/2004 10/2017 11/1987 EE 50 25.00 34.56 59.56 4.00% OS/2004 11/2017 11/1987 EE 50 25.00 34.56 59.56 4.00% OS/2004 11/2017 11/1987 EE 50 25.00 34.56 59.56 4.00% OS/2004 11/2017 11/1987 EE 50 25.00 34.56 59.56 4.00% OS/2004 11/2017 12/1987 EE 50 25.00 34.56 59.56 4.00% 06/2004 12/2017 12/1987 EE 50 25.00 34.56 59.56 4.00% 06/2004 12/2017 12/1987 EE 50 25.00 34.56 59.56 4.00% 06/2004 12/2017 12/1987 EE 50 25.00 34.56 59.56 4.00% 06/2004 12/2017 12/1987 EE 50 25.00 34.56 59.56 4.00% 06/2004 12/2017 01/1988 EE 50 25.00 34.56 59.56 4.00% 07/2004 01/2018 01/1988 EE 50 25.00 34.56 59.56 4.00% 07/2004 01/2018 01/1988 EE 50 25.00 34.56 59.56 4.00% 07/2004 01/2018 01/1988 EE 50 25.00 34.56 59.56 4.00% 07/2004 01/2018 02/1988 EE 50 25.00 33.38 58.38 4.00% 02/2004 02/2018 02/1988 EE 50 25.00 33.38 58.38 4.00% 02/2004 02/2018 02/1988 EE 50 25.00 33.38 58.38 4.00% 02/2004 02/2018 02/1988 EE 50 25.00 33.38 58.38 4.00% 02/2004 02/2018 03/1988 EE 50 25.00 33.38 58.38 4.00% 03/2004 03/2018 03/1988 EE 50 25.00 33.38 58.38 4.00% 03/2004 03/2018 03/1988 EE 50 25.00 33.38 58.38 4.00% 03/2004 03/2018 03/1988 EE 50 25.00 33.38 58.38 4.00% 03/2004 03/2018 03/1988 EE 50 25.00 33.38 58.38 4.00% 03/2004 03/2018 04/1988 EE 50 25.00 33.38 58.38 4.00% 04/2004 04/2018 04/1988 EE 50 25.00 33.38 58.38 4.00% 04/2004 04/2018 04/1988 EE 50 25.00 33.38 58.38 4.00% 04/2004 04/2018 04/1988 EE 50 25.00 33.38 58.38 4.00% 04/2004 04/2018 05/1988 EE 50 25.00 33.38 58.38 4.00% OS/2004 OS/2018 05/1988 EE 50 25.00 33.38 58.38 4.00% OS/2004 OS/2018 05/1988 EE 50 25.00 33.38 58.38 4.00% OS/2004 OS/2018 05/1988 EE 50 25.00 33.38 58.38 4.00% OS/2004 OS/2018 06/1988 EE 50 25.00 33.38 58.38 4.00% 06/2004 06/2018 06/1988 EE 50 25.00 33.38 58.38 4.00% 06/2004 06/2018 06/1988 EE 50 25.00 33.38 58.38 4.00% 06/2004 06/2018 06/1988 EE 50 25.00 33.38 58.38 4.00% 06/2004 06/2018 3 of 10 3/2/20049:25 AM Savings Bond Calculator http://wwws.publicdebt.treas.gov/BC/SBCPria: 06/1988 EE 50 25.00 33.38 58.38 4.00% 06/2004 06/2018 07/1988 EE 50 25.00 33.38 58.38 4.00% 07/2004 07/2018 07/1988 EE 50 25.00 33.38 58.38 4.00% 07/2004 07/2018 07/1988 EE 50 25.00 33.38 58.38 4.00% 07/2004 07/2018 07/1988 EE 50 25.00 33.38 58.38 4.00% 07/2004 07/2018 08/1988 EE 50 25.00 32.24 57.24 4.00% . 02/2004 08/2018 08/1988 EE 50 25.00 32.24 57.24 4.00% 02/2004 08/2018 08/1988 EE 50 25.00 32.24 57.24 4.00% 02/2004 08/2018 08/1988 EE 50 25.00 32.24 57.24 4.00% 02/2004 08/2018 08/1988 EE 50 25.00 32.24 57.24 4.00% 02/2004 08/2018 09/1988 EE 50 25.00 32.24 57.24 4.00% 03/2004 09/2018 09/1988 EE 50 25.00 32.24 57.24 4.00% 03/2004 09/2018 09/1988 EE 50 25.00 32.24 57.24 4.00% 03/2004 09/2018 10/1988 EE 50 25.00 32.24 57.24 4.00% 04/2004 10/2018 10/1988 EE 50 25.00 32.24 57.24 4.00% 04/2004 10/2018 10/1988 EE 50 25.00 32.24 57.24 4.00% 04/2004 10/2018 10/1988 EE 50 25.00 32.24 57.24 4.00% 04/2004 10/2018 10/1988 EE 50 25.00 32.24 57.24 4.00% 04/2004 10/2018 11/1988 EE 50 25.00 32.24 57.24 4.00% OS/2004 11/2018 11/1988 EE 50 25.00 32.24 57.24 4.00% OS/2004 11/2018 11/1988 EE 50 25.00 32.24 57.24 4.00% OS/2004 11/2018 11/1988 EE 50 25.00 32.24 57.24 4.00% OS/2004 11/2018 12/1988 EE 50 25.00 32.24 57.24 4.00% 06/2004 12/2018 12/1988 EE 50 25.00 32.24 57.24 4.00% 06/2004 12/2018 12/1988 EE 50 25.00 32.24 57.24 4.00% 06/2004 12/2018 12/1988 EE 50 25.00 32.24 57.24 4.00% 06/2004 12/2018 01/1989 EE 50 25.00 32.24 57.24 4.00% 07/2004 01/2019 . 01/1989 EE 50 25.00 32.24 57.24 4.00% 07/2004 01/2019 01/1989 EE 50 25.00 32.24 57.24 4.00% 07/2004 01/2019 01/1989 EE 50 25.00 32.24 57.24 4.00% 07/2004 01/2019 01/1989 EE 50 25.00 32.24 57.24 4.00% 07/2004 01/2019 02/1989 EE 50 25.00 31.12 56.12 4.00% 02/2004 02/2019 02/1989 EE 50 25.00 31.12 56.12 4.00% 02/2004 02/2019 02/1989 EE 50 25.00 31.12 56.12 4.00% 02/2004 02/2019 02/1989 EE 50 25.00 31.12 56.12 4.00% 02/2004 02/2019 03/1989 EE 50 25.00 31.12 56.12 4.00% 03/2004 03/2019 03/1989 EE 50 25.00 31.12 56.12 4.00% 03/2004 03/2019 03/1989 EE 50 25.00 31.12 56.12 4.00% 03/2004 03/2019 4ofl0 3/2/2004 9:25 A\ I Savings Bond Calculator http://wwws.publicdebt.treas.gov/BC/SBCPrice 03/1989 EE 50 25.00 31.12 56.12 4.00% 03/2004 03/2019 04/1989 EE 50 25.00 31.12 56.12 4.00% 04/2004 04/2019 04/1989 EE 50 25.00 31.12 56.12 4.00% 04/2004 04/2019 04/1989 EE 50 25.00 31.12 56.12 4.00% 04/2004 04/2019 . 04/1989 EE 50 25.00 31.12 56.12 4.00% 04/2004 04/2019 05/1989 EE 50 25.00 31.12 56.12 4.00%. OS/2004 OS/2019 05/1989 EE 50 25.00 31.12 56.12 4.00% OS/2004 OS/2019 05/1989 EE 50 25.00 31.12 56.12 4.00% OS/2004 OS/2019 05/1989 EE 50 25.00 31.12 56.12 4.00% OS/2004 OS/2019 05/1989 EE 50 25.00 31.12 56.12 4.00% OS/2004 OS/2019 06/1989 EE 50 25.00 31.12 56.12 4.00% 06/2004 06/2019 06/1989 EE 50 25.00 31.12 56.12 4.00% 06/2004 06/2019 06/1989 EE 50 25.00 31.12 56.12 4.00% 06/2004 06/2019 06/1989 EE 50 25.00 31.12 56.12 4.00% 06/2004 06/2019 07/1989 EE 50 25.00 31.12 56.12 4.00% 07/2004 07/2019 07/1989 EE 50 25.00 31.12 56.12 4.00% 07/2004 07/2019 07/1989 EE 50 25.00 31.12 56.12 4.00% 07/2004 07/2019 07/1989 EE 50 25.00 31.12 56.12 4.00% 07/2004 07/2019 08/1989 EE 50 25.00 30.02 55.02 4.00% 02/2004 08/2019 08/1989 EE 50 25.00 30.02 55.02 4.00% 02/2004 08/2019 08/1989 EE 50 25.00 30.02 55.02 4.00% 02/2004 08/2019 08/1989 EE 50 25.00 30.02 55.02 4.00% 02/2004 08/2019 08/1989 EE 50 25.00 30.02 55.02 4.00% 02/2004 08/2019 08/1989 EE 50 25.00 30.02 55.02 4.00% 02/2004 08/2019 09/1989 EE 50 25.00 30.02 55.02 4.00% 03/2004 09/2019 09/1989 EE 50 25.00 30.02 55.02 4.00% 03/2004 09/2019 09/1989 EE 50 25.00 30.02 55.02 4.00% 03/2004 09/2019 09/1989 EE 50 25.00 30.02 55.02 4.00% 03/2004 09/2019 10/1989 EE 50 25.00 30.02 55.02 4.00% 04/2004 10/2019 10/1989 EE 50 25.00 30.02 55.02 4.00% 04/2004 10/2019 10/1989 EE 50 25.00 30.02 55.02 4.00% 04/2004 10/2019 11/1989 EE 50 25.00 30.02 55.02 4.00% OS/2004 11/2019 11/1989 EE 50 25.00 30.02 55.02 4.00% OS/2004 11/2019 11/1989 EE 50 25.00 30.02 55.02 4.00% OS/2004 11/2019 11/1989 EE 50 25.00 30.02 55.02 4.00% OS/2004 11/2019 12/1989 EE 50 25.00 30.02 55.02 4.00% 06/2004 12/2019 11/1989 EE 50 25.00 30.02 55.02 4.00% OS/2004 11/2019 12/1989 EE 50 25.00 30.02 55.02 4.00% 06/2004 12/2019 50fl0 3/2/2004 9:25 AM Savings Bond Calculator http://wwws.publicdebt.treas.goy/BC/SBCPri, 12/1989 EE 50 25.00 30.02 55.02 4.00% 06/2004 12/2019 12/1989 EE 50 25.00 30.02 55.02 4.00% 06/2004 12/2019 01/1990 EE 50 25.00 30.02 55.02 4.00% 07/2004 01/2020 01/1990 EE 50 25.00 30.02 55.02 4.00% 07/2004 01/2020 01/1990 EE 50 25.00 30.02 55.02 4.00% 07/2004 01/2020 01/1990 EE 50 25.00 30.02 55.02 4.00% 07/2004 01/2020 01/1990 EE 50 25.00 30.02 55.02 4.00% 07/2004 01/2020 02/1990 EE 50 25.00 28.94 53.94 4.00% 02/2004 02/2020 02/1990 EE 50 25.00 28.94 53.94 4.00% 02/2004 02/2020 02/1990 EE 50 25.00 28.94 53.94 4.00% 02/2004 02/2020 02/1990 EE 50 25.00 28.94 53.94 4.00% 02/2004 02/2020 03/1990 EE 50 25.00 28.94 53.94 4.00% 03/2004 03/2020 03/1990 EE 50 25.00 28.94 53.94 4.00% 03/2004 03/2020 03/1990 EE 50 25.00 28.94 53.94 4.00% 03/2004 03/2020 03/1990 EE 50 25.00 28.94 53.94 4.00% 03/2004 03/2020 03/1990 EE 50 25.00 28.94 53.94 4.00% 03/2004 03/2020 04/1990 EE 50 25.00 28.94 53.94 4.00% 04/2004 04/2020 04/1990 EE 50 25.00 28.94 53.94 4.00% 04/2004 04/2020 04/1990 EE 50 25.00 28.94 53.94 4.00% 04/2004 04/2020 04/1990 EE 50 25.00 28.94 53.94 4.00% 04/2004 04/2020 05/1990 EE 50 25.00 28.94 53.94 4.00% OS/2004 OS/2020 05/1990 EE 50 25.00 28.94 53.94 4.00% OS/2004 OS/2020 05/1990 EE 50 25.00 28.94 53.94 4.00% OS/2004 OS/2020 05/1990 EE 50 25.00 28.94 53.94 4.00% OS/2004 OS/2020 06/1990 EE 50 25.00 28.94 53.94 4.00% 06/2004 06/2020 06/1990 EE 50 25.00 28.94 53.94 4.00% 06/2004 06/2020 06/1990 EE 50 25.00 28.94 53.94 4.00% 06/2004 06/2020 06/1990 EE 50 25.00 28.94 53.94 4.00% 06/2004 06/2020 07/1990 EE 50 25.00 28.94 53.94 4.00% 07/2004 07/2020 0711990 EE 50 25.00 28.94 53.94 4.00% 07/2004 07/2020 0711990 EE 50 25.00 28.94 53.94 4.00% 07/2004 07/2020 ~ ,/ 06/1983 EE 50 25.00 59.84 84.84 2.30% 06/2004 06/2013 ~~ Orler 07/1983 EE 50 25.00 59.84 84.84 2.30% 07/2004 07/2013 r. "\ 0711983 EE 50 25.00 59.84 84.84 2.30% 07/2004 07/2013 ~s 07/1983 EE 50 25.00 59.84 84.84 2.30% 07/2004 07/2013 (eK-.... ~te) ( 08/1983 EE 50 25.00 58.80 83.80 2.48% 02/2004 08/2013 " 09/1983 EE 50 25.00 58.80 83.80 2.48% 03/2004 09/2013 6 of 10 3/2/2004 9:25 AI Savings Bond Calculator http://wwws.publicdebt.treas.gov/BC/SBePr Co-.o Iwn-e-r (' 09/1983 EE 50 25.00 58.80 83.80 2.48% 03/2004 09/2013 Anne C. 6<oss ~ 09/1983 EE 50 25.00 58.80 83.80 2.48% 03/2004 09/2013 r 02/1986 EE 50 25.00 45.30 70.30 4.00% 02/2004 02/2016 03/1986 EE 50 25.00 45.30 70.30 4.00% 03/2004 03/2016 . 03/1986 EE 50 25.00 45.30 70.30 4.00% 03/2004 03/2016 PagaJ Ie. 6Y\ 04/1986 EE 50 25.00 45.30 70.30 4.00% 04/2004 04/2016 ^ ~ A..lJ +D ....( 04/1986 EE 50 25.00 45.30 70.30 4.00% 04/2004 04/2016 .f:rma.1d G..RAs:s 05/1986 EE 50 25.00 45.30 70.30 4.00% OS/2004 OS/2016 Sr. CA', ,,., .1 05/1986 EE 50 25.00 45.30 70.30 4.00% OS/2004 OS/2016 (n 07% 05/1986 EE 50 25.00 45.30 70.30 4.00% OS/2004 OS/2016 .- 06/1986 EE 50 25.00 45.30 70.30 4.00% 06/2004 06/2016 " 06/1986 EE 50 25.00 45.30 70.30 4.00% 06/2004 06/2016 08/1990 EE 100 50.00 55.76 105.76 4.00% 02/2004 08/2020 08/1990 EE 100 50.00 55.76 105.76 4.00% 02/2004 08/2020 08/1990 EE 100 50.00 55.76 105.76 4.00% 02/2004 08/2020 08/1990 EE 100 50.00 55.76 105.76 4.00% 02/2004 08/2020 09/1990 EE 100 50.00 55.76 105.76 4.00% 03/2004 09/2020 09/1990 EE 100 50.00 55.76 105.76 4.00% 03/2004 09/2020 09/1990 EE 100 50.00 55.76 105.76 4.00% 03/2004 09/2020 10/1990 EE 100 50.00 55.76 105.76 4.00% 04/2004 10/2020 10/1990 EE 100 50.00 55.76 105.76 4.00% 04/2004 10/2020 10/1990 EE 100 50.00 55.76 105.76 4.00% 04/2004 10/2020 11/1990 EE 100 50.00 55.76 105.76 4.00% OS/2004 11/2020 11/1990 EE 100 50.00 55.76 105.76 4.00% OS/2004 11/2020 11/1990 EE 100 50.00 55.76 105.76 4.00% OS/2004 11/2020 12/1990 EE 100 50.00 55.76 105.76 4.00% 06/2004 12/2020 12/1990 EE 100 50.00 55.76 105.76 4.00% 06/2004 12/2020 12/1990 EE 100 50.00 55.76 105.76 4.00% 06/2004 12/2020 12/1990 EE 100 50.00 55.76 105.76 4.00% 06/2004 12/2020 01/1991 EE 100 50.00 55.76 105.76 4.00% 07/2004 01/2021 01/1991 EE 100 50.00 55.76 105.76 4.00% 07/2004 01/2021 02/1991 EE 100 50.00 53.68 103.68 4.00% 02/2004 02/2021 02/1991 EE 100 50.00 53.68 103.68 4.00% 02/2004 02/2021 02/1991 EE 100 50.00 53.68 103.68 4.00% 02/2004 02/2021 03/1991 EE 100 50.00 53.68 103.68 4.00% 03/2004 03/2021 03/1991 EE 100 50.00 53.68 103.68 4.00% 03/2004 03/2021 03/1991 EE 100 50.00 53.68 103.68 4.00% 03/2004 03/2021 04/1991 EE 100 50.00 53.68 103.68 4.00% 04/2004 04/2021 7 of 10 312/2004 9:25 A Savings Bond Calculator http://wwws.publicdebt.lTeas.govIBC/SBCPrice 04/1991 EE 100 50.00 53.68 103.68 4.00% 04/2004 04/2021 04/1991 EE 100 50.00 53.68 103.68 4.00% 04/2004 04/2021 05/1991 EE 100 50.00 53.68 103.68 4.00% OS/2004 OS/2021 05/1991 EE 100 50.00 53.68 103.68 4.00% OS/2004 OS/2021 05/1991 EE 100 50.00 53.68 103.68 4.00% OS/2004 OS/2021 06/1991 EE 100 50.00 . 53.68 103.68 4.00% 06/2004 06/2021 06/1991 EE 100 50.00 53.68 103.68 4.00% 06/2004 06/2021 06/1991 EE 100 50.00 53.68 103.68 4.00% 06/2004 06/2021 07/1991 EE 100 50.00 53.68 103.68 4.00% 07/2004 07/2021 07/1991 EE 100 50.00 53.68 103.68 4.00% 07/2004 07/2021 07/1991 EE 100 50.00 53.68 103.68 4.00% 07/2004 07/2021 07/1991 EE 100 50.00 53.68 103.68 4.00% 07/2004 07/2021 08/1991 EE 100 50.00 51.64 101.64 4.00% 02/2004 08/2021 08/1991 EE 100 50.00 51.64 10 1.64 4.00% 02/2004 08/2021 09/1991 EE 100 50.00 51.64 101.64 4.00% 03/2004 09/2021 09/1991 EE 100 50.00 51.64 101.64 4.00% 03/2004 09/2021 09/1991 EE 100 50.00 51.64 101.64 4.00% 03/2004 09/2021 09/1991 EE 100 50.00 51.64 101.64 4.00% 03/2004 09/2021 10/1991 EE . 100 50.00 51.64 101.64 4.00% 04/2004 10/2021 10/1991 EE 100 50.00 51.64 10 1. 64 4.00% 04/2004 10/2021 10/1991 EE 100 50.00 51.64 101.64 4.00% 04/2004 10/2021 11/1991 EE 100 50.00 51.64 101.64 4.00% OS/2004 11/2021 11/1991 EE 100 50.00 51.64 101.64 4.00% OS/2004 11/2021 12/1991 EE 100 50.00 51.64 101.64 4.00% 06/2004 12/2021 12/1991 EE 100 50.00 51.64 10 1. 64 4.00% 06/2004 12/2021 12/1991 EE 100 50.00 51.64 101.64 4.00% 06/2004 12/2021 12/1991 EE 100 50.00 51.64 101.64 4.00% 06/2004 12/2021 01/1992 EE 100 50.00 51.64 101.64 4.00% 07/2004 01/2022 01/1992 EE 100 50.00 51.64 101.64 4.00% 07/2004 01/2022 01/1992 EE 100 50.00 51.64 10 1.64 4.00% 07/2004 01/2022 02/1992 EE 100 50.00 48.68 98.68 6.00% 02/2004 02/2022 02/1992 EE 100 50.00 48.68 98.68 6.00% 02/2004 02/2022 02/1992 EE 100 50.00 48.68 98.68 6.00% 02/2004 02/2022 03/1992 EE 100 50.00 48.68 98.68 6.00% 03/2004 03/2022 03/1992 EE 100 50.00 48.68 98.68 6.00% 03/2004 03/2022 03/1992 EE 100 50.00 48.68 98.68 6.00% 03/2004 03/2022 03/1992 EE 100 50.00 48.68 98.68 6.00% 03/2004 03/2022 04/1992 EE 100 50.00 48.68 98.68 6.00% 04/2004 04/2022 8 of 10 3/2/2004 9:25 AM Savings Bond Calculator http://wwws.publicdebt.treas.gov/BC/SBCPrice 04/1992 EE 100 50.00 48.68 98.68 6.00% 04/2004 04/2022 04/1992 EE 100 50.00 48.68 98.68 6.00% 04/2004 04/2022 04/1992 EE 100 50.00 48.68 98.68 6.00% 04/2004 04/2022 04/1992 EE 100 50.00 48.68 98.68 6.00% 04/2004 04/2022 05/1992 EE 100 50.00 48.68 98.68 6.00% OS/2004 OS/2022 05/1992 EE 100 50.00 48.68 98.68 6.00% OS/2004 OS/2022 05/1992 EE 100 50.00 48.68 98.68 6.00% OS/2004 OS/2022 05/1992 EE 100 50.00 48.68 98.68 6.00% OS/2004 OS/2022 06/1992 EE 100 50.00 48.68 98.68 6.00% 06/2004 06/2022 06/1992 EE 100 50.00 48.68 98.68 6.00% 06/2004 06/2022 06/1992 EE 100 50.00 48.68 98.68 6.00% 06/2004 06/2022 06/1992 EE 100 50.00 48.68 98.68 6.00% 06/2004 06/2022 07/1992 EE 100 50.00 48.68 98.68 6.00% 07/2004 07/2022 07/1992 EE 100 50.00 48.68 98.68 6.00% 07/2004 07/2022 07/1992 EE 100 50.00 48.68 98.68 6.00% 07/2004 07/2022 07/1992 EE 100 50.00 48.68 98.68 6.00% 07/2004 07/2022 08/1992 EE 100 50.00 45.84 95.84 6.00% 02/2004 08/2022 08/1992 EE 100 50.00 45.84 95.84 6.00% 02/2004 08/2022 08/1992 EE 100 50.00 45.84 95.84 6.00% 02/2004 08/2022 08/1992 EE 100 50.00 45.84 95.84 6.00% 02/2004 08/2022 08/1992 EE 100 50.00 45.84 95.84 6.00% 02/2004 08/2022 09/1992 EE 100 50.00 45.84 95.84 6.00% 03/2004 09/2022 09/1992 EE 100 50.00 45.84 95.84 6.00% 03/2004 09/2022 09/1992 EE 100 50.00 45.84 95.84 6.00% 03/2004 09/2022 10/1992 EE 100 50.00 45.84 95.84 6.00% 04/2004 10/2022 10/1992 EE 100 50.00 45.84 95.84 6.00% 04/2004 10/2022 10/1992 EE 100 50.00 45.84 95.84 6.00% 04/2004 10/2022 10/1992 EE 100 50.00 45.84 95.84 6;00% 04/2004 10/2022 10/1992 EE 100 50.00 45.84 95.84 6.00% 04/2004 10/2022 11/1992 EE 100 50.00 45.84 95.84 6.00% OS/2004 11/2022 11/1992 EE 100 50.00 45.84 95.84 6.00% OS/2004 11/2022 11/1992 EE 100 50.00 45.84 95.84 6.00% OS/2004 11!2022 11/1992 EE 100 50.00 45.84 95.84 6.00% OS/2004 11/2022 12/1992 EE 100 50.00 45.84 95.84 6.00% 06/2004 12/2022 12/1992 EE 100 50.00 45.84 95.84 6.00% 06/2004 12/2022 12/1992 EE 100 50.00 45.84 95.84 6.00% 06/2004 12/2022 12/1992 EE 100 50.00 45.84 95.84 6.00% 06/2004 12/2022 12/1992 EE 100 50.00 45.84 95.84 6.00% 06/2004 12/2022 9 of 10 3/2/2004 9:25 AM Savings Bond Calculator http://wwws.publicdebt.treas.govIBC/SBCPrice Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty ME Matured (Exchangeable for HH) MN Matured (Not Exchangeable for HH) Please rate this service. (Please print and/or save this page before submitting your survey) ~.IIm~l[1'~1 "",._",q,C" ~h"',, _.'''3:'';''ftt:i:'')''Hii;;;i~ ~l!!tF',~~~J:~~ll,:i pr~,~~X~~~;,j~l;tm~;~mtG~ Savings Bond 0 0 0 0 Calculator l Submit SU!:'~L,."...I.~~SE:lU 10 of 10 3/2/20049:33 A\l C677351923EE 11/1999 EE $100 $50.00 $9.28 $59.28 2.61% 02/2004 11/2029 P5 C677584923EE 11/1999 EE 100 50.00 9.28 59.28 2.61% 02/2004 11/2029 P5 C677812169EE 11/1999 EE 100 50.00 9.28 59.28 2.61% 02/2004 11/2029 P5 C683688619EE 11/1999 EE 100 50.00 9.28 59.28 2.61% 02/2004 11/2029 P5 C675469936EE 09/1999 EE 100 50.00 10.04 60.04 2.66% 02/2004 09/2029 P5 C676168211EE 09/1999 EE 100 50.00 10.04 60.04 2.66% 02/2004 09/2029 P5 C675660729EE 09/1999 EE 100 50.00 10.04 60.04 2.66% 02/2004 09/2029 P5 C675879343EE 09/1999 EE 100 50.00 10.04 60.04 2.66% 02/2004 09/2029 P5 C669265547EE 08/1999 EE 100 50.00 10.20 60.20 2.66% 02/2004 08/2029 P5 C674832061EE 08/1999 EE 100 50.00 10.20 60.20 2.66% 02/2004 08/2029 P5 C675280169EE 08/1999 EE 100 50.00 10.20 60.20 2.66% 02/2004 08/2029 P5 C674642434EE 08/1999 EE 100 50.00 10.20 60.20 2.66% 02/2004 08/2029 P5 Co77033341 EE 10/1999 EE 100 50.00 9.92 59.92 2.66% 02/2004 10/2029 P5 C676773589EE 10/1999 EE 100 50.00 9.92 59.92 2.66% 02/2004 10/2029 P5 C676605249EE 10/1999 EE 100 50.00 9.92 59.92 2.66% 02/2004 10/2029 P5 C676361419EE 10/1999 EE 100 50.00 9.92 59.92 2.66% 02/2004 10/2029 P5 C668965228EE 07/1999 EE 100 50.00 10.32 60.32 2.61% 02/2004 07/2029 P5 C668824388EE 07/1999 EE 100 50.00 10.32 60.32 2.61% 02/2004 07/2029 P5 C668613259EE 07/1999 EE 100 50.00 10.32 60.32 2.61% 02/2004 07/2029 P5 C668484733EE 07/1999 EE 100 50.00 10.32 60.32 2.61% 02/2004 07/2029 P5 C684017024EE 12/1999 EE 100 50.00 9.16 59.16 2.61% 02/2004 12/2029 P5 C684360521EE 12/1999 EE 100 50.00 9.16 59.16 2.61% 02/2004 12/2029 P5 C684680282EE 12/1999 EE 100 50.00 9.16 59.16 2.61% 02/2004 12/2029 P5 C684897168EE 12/1999 EE 100 50.00 9.16 59.16 2.61% 02/2004 12/2029 P5 C685177341 EE 12/1999 EE 100 50.00 9.16 59.16 2.61% 02/2004 12/2029 P5 C685645155EE 01/2000 EE 100 50.00 9.04 59.04 2.61% 02/2004 01/2030 P5 C685899935EE 01/2000 EE 100 50.00 9.04 59.04 2.61% 02/2004 01/2030 P5 C686021621 EE 01/2000 EE 100 50.00 9.04 59.04 2.61% 02/2004 01/2030 P5 C686409510EE 01/2000 EE 100 50.00 9.04 59.04 2.61% 02/2004 01/2030 P5 C686727694EE 02/2000 EE 100 50.00 8.88 58.88 2.66% 02/2004 02/2030 P5 C686871607EE 02/2000 EE 100 50.00 8.88 58.88 2.66% 02/2004 02/2030 P5 C686521009EE 02/2000 EE 100 50.00 8.88 58.88 2.66% 02/2004 02/2030 P5 C687202648EE 02/2000 EE 100 50.00 8.88 58.88 2.66% 02/2004 02/2030 P5 C687476665EE 03/2000 EE 100 50.00 8.76 58.76 2.66% 02/2004 03/2030 P5 C687585386EE 03/2000 EE 100 50.00 8.76 58.76 2.66% 02/2004 03/2030 P5 C691622928EE 03/2000 EE 100 50.00 8.76 58.76 2.66% 02/2004 03/2030 P5 C692149314EE 03/2000 EE 100 50.00 8.76 58.76 2.66% 02/2004 03/2030 P5 C692346472EE 04/2000 EE 100 50.00 8.64 58.64 2.66% 02/2004 04/2030 P5 C692476362EE 04/2000 EE 100 50.00 8.64 58.64 2.66% 02/2004 04/2030 P5 C692690000EE 04/2000 EE 100 50.00 8.64 58.64 2.66% 02/2004 04/2030 P5 C693089167EE 04/2000 EE 100 50.00 8.64 58.64 2.66% 02/2004 04/2030 P5 C693337304EE OS/2000 EE 100 50.00 7.84 57.84 2.61% 02/2004 OS/2030 P5 C693413544EE OS/2000 EE 100 50.00 7.84 57.84 2.61% 02/2004 OS/2030 P5 C693616979EE OS/2000 EE 100 50.00 7.84 57.84 2.61% 02/2004 OS/2030 P5 C694018765EE OS/2000 EE 100 50.00 7.84 57.84 2.61% 02/2004 OS/2030 P5 C632664237EE 01/1998 EE 100 50.00 15.44 65.44 2.61% 02/2004 01/2028 C633384136EE 01/1998 EE 100 50.00 15.44 65.44 2.61% 02/2004 01/2028 C633548585EE 02/1998 EE 100 50.00 15.32 65.32 2.66% 02/2004 02/2028 C633859972EE 02/1998 EE 100 50.00 15.32 65.32 2.66% 02/2004 02/2028 C633986807EE 02/1998 EE 100 50.00 15.32 65.32 2.66% 02/2004 02/2028 C634350505EE 02/1998 EE 100 50.00 15.32 65.32 2.66% 02/2004 02/2028 C638427298EE 03/1998 EE 100 50.00 15.16 65.16 2.66% 02/2004 03/2028 C638504972EE 03/1998 EE 100 50.00 15.16 65.16 2.66% 02/2004 03/2028 C638719300EE 03/1998 EE 100 50.00 15.16 65.16 2.66% 02/2004 03/2028 C639107132EE 03/1998 EE 100 50.00 15.16 65.16 2.66% 02/2004 03/2028 C639335346EE 04/1998 EE 100 50.00 15.04 65.04 2.66% 02/2004 04/2028 C639575911EE 04/1998 EE 100 50.00 15.04 65.04 2.66% 02/2004 04/2028 C639738790EE 04/1998 EE 100 50.00 15.04 65.04 2.66% 02/2004 04/2028 C640259047EE 04/1998 EE 100 50.00 15.04 65.04 2.66% 02/2004 04/2028 C640826777EE 04/1998 EE 100 50.00 15.04 65.04 2.66% 02/2004 04/2028 C640994317EE 05/1998 EE 100 50.00 13.92 63.92 2.61% 02/2004 OS/2028 C641129970EE 05/1998 EE 100 50.00 13.92 63.92 2.61% 02/2004 OS/2028 C638080541EE 05/1998 EE 100 50.00 13.92 63.92 2.61% 02/2004 OS/2028 C640075646EE 05/1998 EE 100 50.00 13.92 63.92 2.61% 02/2004 OS/2028 C645864090EE 06/1998 EE 100 50.00 13.76 63.76 2.61% 02/2004 06/2028 C645981413EE 06/1998 EE 100 50.00 13.76 63.76 2.61% 02/2004 06/2028 C646223745EE 06/1998 EE 100 50.00 13.76 63.76 2.61% 02/2004 06/2028 C646505880EE 06/1998 EE 100 50.00 13.76 63.76 2.61% 02/2004 06/2028 C646862539EE 07/1998 EE 100 50.00 13.64 63.64 2.61% 02/2004 07/2028 C647075399EE 07/1998 EE 100 50.00 13.64 63.64 2.61% 02/2004 07/2028 C647308167EE 07/1998 EE 100 50.00 13.64 63.64 2.61% 02/2004 07/2028 C649762361 EE 07/1998 EE 100 50.00 13.64 63.64 2.61% 02/2004 07/2028 C650130872EE 07/1998 EE 100 50.00 13.64 63.64 2.61% 02/2004 07/2028 C650392909EE 0811998 EE 100 50.00 13 .48 63.48 2.66% 02/2004 08/2028 C650496486EE 08/1998 EE 100 50.00 13.48 63.48 2.66% 02/2004 08/2028 C650801921EE 08/1998 EE 100 50.00 13 .48 63.48 2.66% 02/2004 08/2028 C65119262IEE 08/1998 EE 100 50.00 13.48 63.48 2.66% 02/2004 08/2028 C651444895EE 09/1998 EE 100 50.00 13.36 63.36 2.66% 02/2004 09/2028 C651626859EE 09/1998 EE 100 50.00 13.36 63.36 2.66% 02/2004 09/2028 C651823149EE 0911998 EE 100 50.00 13.36 63.36 2.66% 02/2004 09/2028 C654445835EE 09/1998 EE 100 50.00 13.36 63.36 2.66% 02/2004 09/2028 C654726295EE 09/1998 EE 100 50.00 13.36 63.36 2.66% 02/2004 09/2028 C654844573EE 10/1998 EE 100 50.00 13.20 63.20 2.66% 02/2004 10/2028 C655043715EE 10/1998 EE 100 50.00 13.20 63.20 2.66% 02/2004 10/2028 C655324010EE 10/1998 EE 100 50.00 13.20 63.20 2.66% 02/2004 10/2028 C655454655EE 10/1998 EE 100 50.00 13.20 63.20 2.66% 02/2004 10/2028 C655975264EE 11/1998 EE 100 50.00 12.32 62.32 2.61% 02/2004 11/2028 C659267087EE 11/1998 EE 100 50.00 12.32 62.32 2.61% 02/2004 11/2028 C655705490EE 11/1998 EE 100 50.00 12.32 62.32 2.61% 02/2004 11/2028 C659714673EE 11/1998 EE 100 50.00 12.32 62.32 2.61% 02/2004 11/2028 C659963617EE 12/1998 EE 100 50.00 12.16 62.16 2.61% 02/2004 12/2028 C660311483EE 12/1998 EE 100 50.00 12.16 62.16 2.61% 02/2004 12/2028 C661426982EE 12/1998 EE 100 50.00 12.16 62.16 2.61% 02/2004 12/2028 C661310487EE 12/1998 EE 100 50.00 12.16 62.16 2.61% 02/2004 12/2028 C663277560EE 02/1999 EE 100 50.00 11.52 61.52 2.66% 02/2004 02/2029 P5 C663408603EE 02/1999 EE 100 50.00 11.52 61.52 2.66% 02/2004 02/2029 P5 C663554562EE 02/1999 EE 100 50.00 11.52 61.52 2.66% 02/2004 02/2029 P5 C663917388EE 02/1999 EE 100 50.00 11.52 61.52 2.66% 02/2004 02/2029 P5 C664179463EE 03/1999 EE 100 50.00 11.36 61.36 2.66% 02/2004 03/2029 P5 C664307282EE 03/1999 EE 100 50.00 11.36 61.36 2.66% 02/2004 03/2029 P5 C664533985EE 03/1999 EE 100 50.00 11.36 61.36 2.66% 02/2004 03/2029 P5 C664769938EE 03/1999 EE 100 50.00 11.36 61.36 2.66% 02/2004 03/2029 P5 C665095228EE 03/1999 EE 100 50.00 11.36 61.36 2.66% 02/2004 03/2029 P5 C665316196EE 04/1999 EE 100 50.00 11.24 61.24 2.66% 02/2004 04/2029 P5 C665533404EE 04/1999 EE 100 50.00 11.24 61.24 2.66% 02/2004 04/2029 P5 C665761507EE 04/1999 EE 100 50.00 11.24 61.24 2.66% 02/2004 04/2029 P5 C666249548EE 04/1999 EE 100 50.00 11.24 61.24 2.66% 02/2004 04/2029 P5 C666342129EE 05/1999 EE 100 50.00 10.60 60.60 2.61 % 02/2004 OS/2029 P5 C666511731EE 05/1999 EE 100 50.00 10.60 60.60 2.61% 02/2004 OS/2029 P5 C666733076EE 05/1999 EE 100 50.00 10.60 60.60 2.61% 02/2004 OS/2029 P5 C667157101EE 05/1999 EE 100 50.00 10.60 60.60 2.61% 02/2004 OS/2029 P5 C667276991 EE 06/1999 EE 100 50.00 10.44 60.44 2.61% 02/2004 06/2029 P5 C667548262EE 06/1999 EE 100 50.00 10.44 60.44 2.61% 02/2004 06/2029 P5 C694144332EE OS/2000 EE 100 50.00 7.84 57.84 2.61% 02/2004 OS/2030 P5 C694346972EE 06/2000 EE 100 50.00 7.72 57.72 2.61% 02/2004 06/2030 P5 C694513804EE 06/2000 EE 100 50.00 7.72 57.72 2.61% 02/2004 06/2030 P5 C694579186EE 06/2000 EE 100 50.00 7.72 57.72 2.61% 02/2004 06/2030 P5 C694977125EE 06/2000 EE 100 50.00 7.72 57.72 2.61% 02/2004 06/2030 P5 C695119973EE 07/2000 EE 100 50.00 7.56 57.56 2.61% 02/2004 07/2030 P5 C691789835EE 03/2000 EE 100 50.00 8.76 58.76 2.66% 02/2004 03/2030 P5 C695281249EE 07/2000 EE 100 50.00 7.56 57.56 2.61% 02/2004 07/2030 P5 C695437141EE 07/2000 EE 100 50.00 7.56 57.56 2.61% 02/2004 07/2030 P5 C660895744EE 12/1998 EE 100 50.00 12.16 62.16 2.61% 02/2004 12/2028 C662077026EE 0111999 EE 100 50.00 12.04 62.04 2.61% 02/2004 0112029 C662884227EE 0111999 EE 100 50.00 12.04 62.04 2.61% 02/2004 0112029 C661976591EE 0111999 EE 100 50.00 12.04 62.04 2.61% 02/2004 0112029 C662199545EE 0111999 EE 100 50.00 12.04 62.04 2.61 % 02/2004 0112029 C675314006EE 09/1999 EE 100 50.00 10.04 60.04 2.66% 02/2004 09/2029 P5 C667876578EE 06/1999 EE 100 50.00 10.44 60.44 2.61% 02/2004 06/2029 P5 C668204225EE 06/1999 EE 100 50.00 10.44 60.44 2.61% 02/2004 06/2029 P5 C668385360EE 06/1999 EE 100 50.00 10.44 60.44 2.61% 02/2004 06/2029 P5 Plu~ I/OY- V~ M ~ IJOtf - -f;.\O/ ~ cc ~(~ - $ 100 .~ 1/ Q.Qm. - (~S-<..u<... (?lld , . ESTATE OF ROBERT B. ROSS, SR. U.S. SAVINGS BONDS Total of Bonds from Savings Bond Calculator Reports List #1 (332 bonds) 24,163.32 List #2(131 bonds) 8.028.80 Total Bonds (before adjustments) 32,192.12 Less: Bonds held individually by Decedent (reported on Schedule B) 703.00 Bonds held jointly with Anne C. Ross (reported on Schedule F) 674.56 Plus: 2 - $100 U.S. Savings Bonds, Series EE Issued January 2004 100.00 Bonds Payable on Death to Donald G. Ross, Jr. (reported on Schedule G) 30,914.56 --'-""..............------_._............_~"_.~_......,_..,.. -_.,.....~'-_.~~- -,---'-~_. .-------.-------.-.- . .~..~. . - -- ,----_. / 02/1986 EE 50 25.00 45.30 70.30 4.00% 02/2004 02/2016 03/1986 EE - 50 25.00 45.30 70.30 4.00% 03/2004 03/2016 - 03/1986 EE 50 25.00 45.30 70.30 I- 4.00% 03/2004 03/2016 PagaJ Ie. IlY\ - 04!l986 EE 50 25.00 45.30 - 70.30 4.00% 04/2004 04/2016 - () ~;'.i +D -< 04/1986 EE 50 25.00 45.30 70.30 4.00% - 04/2004 04/2016 II ~Id a.~ ) 05/1986 EE 50 25.00 45.30 70.30 4.00% OS/2004 OS/2016 Sr. cA~ I....D<"_,I 05/1986 EE 50 25.00 45.30 70.30 4.00% OS/2004 OS/2016 . In ~ 05/1986 EE 50 25.00 45.30 70.30 4.00% OS/2004 OS/2016 ~ 06/1986 BE 50 25.00 45.30 70.30 4.00% 06/2004 06/2016 "- 06/1986 EE 50 25.00 45.30 70.30 4.00% 06/2004 06/2016 .- -- .... .- . ~ /' 06/1983 EE 50 25.00 59.84 84.84 2.30% 06/2004 06/2013 ~~ Q1er 07/1983 EE 50 25.00 59.84 84.84 2;30% 07/2004 07/2013 C. ""\ 07/1983 EE 50 25.00 59.84 84.84 2.30% 07/2004 07/2013 {~_ 5 I 07/1983 EE 50 25.00 59.84 84.84 2.30% 07/2004 07/2013 I 08/1983 EE 50 25.00 58.80 83.80 2.48% 02/2004 08/2013 ~~ "-- 09/1983 EE 50 25.00 58.80 83.80 2.48% 03/2004 09/2013 r~ '" (I.t..t"" ('"' 09/1983 EE 50 25.00 58.80 83.80 2.48% 03/2004 09/2013 ........., An..x C. 6<oss ..wi 09/1983 EE 50 25.00 58.80 83.80 2.48% 03/2004 09/2013 . 4th And Walnut Streets PO Box 12053 Hanisbwg, PA 17108 toll-free 800 676 0673 "'l td 7172556666 Morgan Stanley fux 717 255 6651 Robert B. Ross Individual Account 410-041734-101 Account Valuation as of January 26, 2004 I Cash and Money Market Funds Shares NAV Value Active Assets Money Trust 3,058.70 1.00 $3,058.70 Total Mutual Fund Value $3,058.70 Mutual Funds Shares NAV Value vVan Kampen Equity and Income A 7,631.400 8.14 $62,119.60 JAmerican Invesbnent Co. of America 1,875.683 29.69 $55,689.03 -A\merican New Perspective Fund 2,212.499 25.39 $56,175.35 vFranklin High Yield Tax Free A 3,279.561 10.71 $35,124.10 Total Mutual Fund Value $209,108.07 Stocks Shares Hiah Low Averaae Value ~bbott Laboratories 383.887 41.155 40.211 40.683 $15,617.67 v;il.ES Corp. 575.000 10.770 10.350 10.560 $6,072.00 \/'Amer Tech Ceramic Corp. 1,000.000 8.980 8.890 8.935 $8,935.00 ./Avaya Inc. 500.000 15.580 15.050 15.315 $7,657.50 v'EMC Corp. 300.000 15.130 14.600 14.865 $4,459.50 JEmerson Electric Co. 314.746 65.900 64.570 65.235 $20,532.46 -/Fannie Mae 104.427 79.300 n.530 78.415 $8,188.64 JGoodrich Corp. 212.537 32.270 31.050 31.660 $6,728.92 ./Home Depot Inc. 200.000 36.350 35.760 36.055 $7,211.00 ./IntI. Business Machines Corp. 302.229 99.850 97.560 98.705 $29,831.51 JLyondell Chemical Co. 500.000 16.860 16.460 16.660 $8,330.00 v1V1organ Stanley 400.000 60.330 58.800 59.565 $23,826.00 --Morgan Stanley Plus S&P 500 Index 1,500.000 11.180 11.180 11.180 $16,770.00 ---Motorola Inc. 578.924 17.300 16.460 16.880 $9,772.24 i/Nuveen Premium Inc. Muni Fd. 738.624 14.990 14.790 14.890 $10,998.11 vPepsico Inc. 204.426 46.900 46.130 46.515 $9,508.88 vSara Lee Corp. 547.504 20.520 20.270 20.395 $11,166.34 vfechnitrollnc. 501.296 20.400 19.860 20.130 $10,091.09 .Nan Kampen Tr. Inv. Grade Muni. 594.680 16.240 16.130 16.185 $9,624.90 vWalgreen 200.000 35.050 34.500 34.775 $6,955.00 Total StockValue $232,276.76 Total Account Value as of January 26, 2004 $441,384.83 THE PURCHASE DATES, AMOUNTS AND PRICES PROVIDED ARE FROM SOURCES CONSIDERED TO BE RELIABLE, BUT ARE NOT GUARANTEED AS TO ACCURACY. CHECK YOUR MONTHLY STATEMENT FOR VERIFICATION OF FIGURES A. - JEPARTMENT OF HOUSING and URBAN DEVELOPMENT OMS No. 2502-0265 SEITLEMENTSTATEMENT TITlEPRO Laserprint HERITAGE SETTLEMENT SERVICES, LLC B. TYPE OF LOAN 4705 East Trindle Road 1.[ ] FHA 2.[ )FMHA 3. [ ] CON\!. UNINS. Mechanicsburg, PA 17050 4. []VA 5. [XCONV. INS. 6. FILE NUMBER: I 7. LOAN NUMBER: Phone: (717) 975-2117 Fax: (717) 730-9665 993434 83673558 8. MORT. INS. CASE NO.: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked '(p.o.c.)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. O. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER, F. NAME AND ADDRESS OF LENDER, Khoa D. Doan Estate of Robert Ross Countrywide Home Loans, Dung T. Pham Inc. G. PROPERTY LOCATION: H. SEmEMENT AGENT, I. SETT1.EMENT DATE, Camp Hill, PA 17011 2 Circle Drive Heritaqe Settlement Services, LLC 10/29/04 East Pennsboro Township PLACE OF SETT1.EMENT, Cumberland County 4705 E. Trindle Road, Mechanicsburg, PA J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF saLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELlER 101. Contrad:t sales price 130050.00 "Ol.Contract sales orlce 130050.00 102. Personal property ,02.Personel propertv 103. Settlement charaes to borrower lline 1400) 4399.30 '03. 104. ..0... 105. "05. , Adiustments for items Dald bv seller In advance Adjustments for items nald bv seller in advance 106. CltyfTown tax to "o6.CltvfTown tax to 107. Countv tax 10/2910410 12/31/04 57.88 "07.Countv tax 10/291041012/31/04 57.88 108. Assessments to "08.Assessments to 1 09. SCHOOL 10/291041006/30105 886.97 "09. SCHOOL 10/29 I 0410 06/30105 886.97 110. to "'0. to 111. Swr/Ref:S96/a end12/31/04 66.10 411. Swr/Ref:$96/a end12/31/0 ~ 66.10 112. "12. 120. GROSS ~MOUNT DUE FROM BORROWER 135460.25 420.GROSS AMOUNT DUE TO SELLER 131060.95 200. AMOUNtS PAID BY OR IN BEHALF OF BORROWER soo.REOUcnoNS IN AMOUNT DUE TO saLER 201. Deeosit or earnest monev 1000.00 so1.Excess deDcs!t (see instructionsl 202. Princloill amount of new loan(s) 123547.00 so2.Settlement charaes to seller (line 140m 9876.30 203. Existlnoloan(s) taken subiect to 503.Existinn loan(s) taken subiect to 20'. 5O-4.Payoff of First Mortgage Loan 205. sos.Payoff of Second Mortgage Loan 206. . so.. 201. Sellers Assist 3900.00 501. Sellers Assist 3900.00 208. so.. 209. S09. . Adjustments for Items unoaid bv seller Adjustments for Items unoald bv seller 210. CityfTo~ tax 10 510.CfrvfTown tax to 211. County tk 10 511.COuntvtax to 212. Assessments to 512.An8ssments to 213. SCHOOL to 513. SCHOOL to 214. 51... 215. 515. 216. , 516. 217. . 517. 218. 518. 219. 519. 220. TOTAL PAID BYIFOR BORROWER 128447.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 13776.30 300. CASH AT SETTLEMENT FRO,.-on TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER 301. Gross iWnount due from borrower fline 120) 135460.25 601.GroSS amount due to seller f1ine 420' 131060.95 302. Less arillount paid bv!for borrower (line 220) 128447.00 602.Les$ reduction amount due seller lUne 520) 13776.30 303. CASH ((liFROM) ([ J TO) BORROWER 7013.25 603. CASH ([ XT9l ([ ] FROM) SELLER 117284.65 --lL,~1M'<-~ --x.. ~ (~C./ 4Sao&! ffDrNo.. csl-v../c jh::tL . ( , ()b7!(j7iel5F ~J -- Buyer or Borrower's SIgn Seller's Signature HUD-1 Rev. 5186 U.S. DEPARTMENT OF HOUSING AND' '~aAN DEVELOPMENT . SETTLEMENT STA 1 ~T 700. Re Count ide Tax, Service 90.00 Landsafe Flood 26.00 Count ide Home Loans 400.00 0$ Ida 58.38 28.83 Imo. 86.49 81. 34 Imo. 81. 34 Imo, 10 28.02 Imo. 280.20 Imo. 6 110.87 Imo. 665.22 {mo. Imo. -371.58 POC Nota Public 14.00 108. Herita e Settlement Srvs 1102 1103 1104 109. 123 547 110. 130 050 111. 66.50 Misc. $ 105.00 e$ 1300.50 1300.50 Townshi 96.00 549.80 Tax Cert to Re Max 2.00 Triton 40.00 Central Penn 185.00 TCS 95.00 Inc 125.00 4399.30 9876.30 Par1ies ag~ thai no llablllly Is assumed by Settlement Agent lor the accuracy ollnlormatlon lumlahed by others a. shown on the HUD-1 Settlement 51.tement. Settlement Agent hereby ...pressly reserves the ~t 10 depoallany amounts collected for dlsbul'IMm8f'llln an Interest bearing account In . Feder.1y Insured lnstlullon and 10 credit any Interest so earned to Its own account as addKlonal compensation IGr ils services m this transaction. HUD CERTIFICATION OF BUYERS AND SELLERS I have carefully reviewed the HUD-1 Settlement Sl8tement and to the best of my knowledge and belief, It Is a true and accurate statement of all receipts and disbursements made on mY~ nie In thl. transaction. I /urther certify lhat I have received a copy 01 the '!l;.'J.ement ""'tement. os'?J:'t%-.&(:<,k Ie . . tnt.J,('J7~ ___ ~" ~ '. ilA7~M' ?f ~(l.u Buyer or B~r'. Signature Seller's Signature Buyer's Add.....r& Phone: Seller's New Address & Phon.: is. true and accurate account ot this tflmaaction. I have oaused or wlll cause Ihe lunda to be disbuned In accordance wilh this statement. /IJ-d,/-cJ r Dale ~ !~~..~!;~~~~~."to the United Stales on this or any Mnllar form. Penalties upon conviction can include a fine and Imprisonment. For del.'1s see Page of SAFE DEPOSIT BOX INVENTORY INSTRUCTIONS (1) Cash: Report total only. (2) Stocks: list in detail every common or preferred certificate, warrant or other rights found in box. Stocks are to be designated by name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and class of stock. (3) Obligations of U. S. Government: Number of items, date of issue, face value, names in which registered. (4) Bonds: Designate by name, amount, serial number, or other designation. (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last date appearing in book, name of bank and branch, and balance. (6) Jewelry, Coins, Stamps, Manuscripts, etc: list and describe as fully as possible. (7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: list and describe as fully as possible. (8) All other contents. ITEM DESCRIPTION erjury that the above record is correct and complete to the bett,of my knowledge NOTE: Use separate sheets If necessary. '.. REV.4BS EX+ (3-B4) . SAFE DEPOSIT BOX COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF REVENUE INVENTORY BUREAU OF EXAMINATION P.O. BOX B327 HARRISBURG, PA 1710S (ZIP CODE) 11DII ~d.s .s I, , . I st no_I (CITY) (STATE) (ZIP CODE) V I 3::1 \ 0 ECEDENT, OF PERSON(S) PRESENT AT THE BOX OPENING a. (RELATIONSHIP) Tr ;'0/'\ l'f>. e)(.ec.,J", .t 1.,;,) (. st..i{' A:ve (CITY) .' I(SlATE) (ZIP CODE) \Sr fie./' Si..,-~se, Ne... y"tl( )>d(v b. , (RelATIONSHIP) (STREET ADDRESS) (CITY) (STATE) . .,'. (ZIP CODE) t. (NAME) (RelATIONSHIP)' : 0, "..' . , (STREET ADDRESS) (<;ITY) ~ZIP CODE) " ;,,"\ '.. , ",", -..] . ,{ ,I NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX a. (NAME) (ADDRESS) b. (NAME) (ADDRESS) NAME AND TITLE OF EMPLOYE TAKING THE INVENTORY ~ ~nH b. name and address of personal representative, if nomed in the will (NAME) ~~. (STREET ADDRESS) (CITY) (STATE) (ZIP CODE) c. name and address of attorney, if any (NAME) ~ vid. M. Wxf+:s :J;.. (STREET ADDRES.p . J (CITY) (ZIP CODE) I 00 i ne Sf-rceJ- \1108 ....,-'-- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG, PA 17128-0601 Telephone October 26, 2004 (717) 787-3930 FAX (717) 772-0412 David M Watts Jr Attomey at Law PO Box 1166 100 Pine Street Harrisburg Pa 17108-1166 Re: Estate of Robert BRoss Sr File Number 2104-0099 Dear-Sir or Madam: This is in response to your request for an extension of time to file the Inheritance Tax Return fpr the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before~ecause Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. slncerelY~ { . {!;~ 01..( - . (,I"U-:I-<~ ~. f . ~,,- ~,- /1/\ ~ / / /; Claudia Maffei, SupElrVi:Soi- Document Processing Unit Inheritance Tax Division COMMONWEALTH OF PENNSYLVANIA REV-1162 EXI11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 003866 WATTS DAVID M JR 100 PINE ST P.O. BOX 1166 HARRISBURG, PA 17108 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ---------- -------- 101 I $15,000.00 '" ESTATE INFORMATION: SSN: 331-36-1731 I FILE NUMBER: 2104-0099 I DECEDENT NAME: ROSS ROBERT B SR I DATE OF PAYMENT: 04/26/2004 I POSTMARK DATE: 04/23/2004 I CUMBERLAND ' ' -;- I COUNTY: DATE OF DEATH: 01/26/2004 I I TOTAL AMOUNT PAID: $15,000.00 REMARKS: ---- :-:J, _.,"--, CHECK# 001707 "._",. INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS TAXPAYER ,:,.. Hl/19/2004 14:44 7174415606 REMAX PAGE 05/06 " '-...-,' ".-v-'" " , STATE OF PENNSYLVANIA SHO~T CERTIFICATE COUNTY OF CUMEJ.ERLAND I, GLENDA FA8NER STRASBAUGH Regis,ter.fqr t.hePro.ba.t~ or wills and Granting Letters of Administration in and for " CUMBBRLAND Coun ty, do hereby certi fy tlla t on , the 2nd' day of February, Two Thousand and Four, Letters TESTAMENTARY in conunon form were granted by the Register of said County, on the estate or ROSS ROBERT B SR , late or EAST PENNSBORO TOWNSHIP (/,MI,l'kot._i,./ - in said county, deceased, to ROSS REBECCA B ~ and (f..ut.Fin'I,,,,,.... ROSS ROBERT B JR 1LRt......._ and that same ha,,., not since been revoked, IN TESTIMCj\lY WHEREOF, I have hereunto set my band and affixed the seal or said ofr.ice at CARLISLE, PENNSYLVANIA, this 22th day of July Two Thousand and Four. File No. 2004- 00099 PA File No. 27-04-0099 Date of Death 1/26/2004 ~... S.S. H 3.U.36-1731 , " \, ~d.~'~~~~ : '" .- i>' NOT VALIO WI'I'HOUT ORIGINJ!L SIGNATURE AND IMPRESSED SEAL., LAST WILL AND TESTAMENT OF ROBERT B. ROSS I, ROBERT B. ROSS, of the Township of East Pennsboro, County of Cumb- land and State of Pennsylvania, being of sound 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 other wills by me at any time hereto- fore made. I. I direct that my Executors, hereinafter named, shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease. II. I give and bequeath unto my son, ROBERT B. ROSS, JR. my tapes, record collection, Hi Fi equipment, round oak 45 inch diameter table, my cherry chest of drawers and one half of my books. III. I give and bequeath unto my daughter, REBECCA B. ROSS, my mahogany roll top desk, oak hutch, cherry end table and one half of my books. IV. All the rest, residue and remainder of my estate, whether real, per- sonal or mixed and wheresoever situate, I hereby give, devise and bequeath in ---_.- equal shares unto my issue, ROBERT B. ROSS, JR. and REBECCA B. ROSS, per stirpes. V. I hereby nominate, constitute and appoint my son ROBERT B. ROSS, JR. and my daughter, REBECCA B. ROSS, as Co-Executors of this, my Last Will and , flITr!i1f I 1',:_"" ~ Testament. If either of them should predecease me, or otherwise fail to qualify or cease to act as such, then I appoint the other as my sole Executor. VI. No individual fiduciary hereunder shall be required to furnish bond or other security for the proper performance of his or her duties. VII. It is my desire that my Executors, herein named, utilize the services of WILLIAM A. YOCUM, Attorney at Law, for administering my estate. IN WITNESS WHEREOF, I, ROBERT B. ROSS, the Testator, have unto this my Lao< Will and T"'~'n'. ,,' my hand and~''C'(:E::6' f SIGNED, SEALED PUBLISHED and DECLARED by ROBERT B. ROSS, the above- named Testator, as and for his Last Will and Testament in the presence of us who have hereunto subscribed our names as witnesses at his request, in the presence of the said Testator and of each other. !J-.---1 _'. fA ' , , "" '/;,---." t \, ,UAJ.-fL''--<-~~", / ,;/ . t.t_,i.'-C_~./v- ----.,,,// }- .2' // // . .7 ,f,,!1/., c.f;,dIc!, tf-4r.,{)/ r ACKNOWLEDGMENT AND AFFIDAVIT STATE OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) We, ROBERT B. ROSS, 13p;;J1Uff ,IJJ;rI/IUj and E/?//'fl Filj.j'Ohf , Testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and Page Two of Three Pages -;~';"'\""""""" - -'-""" .,', '~rw:\\1~~~~;~~,t11l" l"m "'<'he;';;~:~ of the Testator signed the will as witness and that to the best of their knowledge the Testator was at that time eighteen years of age or older, of 'ouod mind and under no ,on"rain' or u~ (SEAL) I Testf:or ) .'~ tt~L~j/ (7})d.iJ~.f A""",, (SEAL) ~ss 4 ,//;C'f:' ,o(~l~,d./ (SEAL) Witness SUBSCRIBED, sworn to and acknowledged before me by ROBERT B. ROSS, the Testator, and subscribed and sworn to before me by ;J (l 'J -j Y. I/f' f'JJ ;Jllf '-~ and E'1::JJ;'e P't--{,'ChJ ' witnesses, this jp't!:day of f1-J;Jt:.-c.L.. ,1996. M)~ a.~~ Notary Public { i NOTARIAL SEAL I i WILL!AM~. YOCUI1. NOTARY PU8LlC I CAMP KILL BORD. CUM8ERlAND CO~NTY 1 i'l\Y COMMISSION EXPIRES JUNE 2.7, 199b! I , Page Three of Three Pages '., "', ' ", 'If''' ",."m, we ' ","', ' " "" ,_ , '0" .. ":.',- ~.)'~,.~",~.' ,~. ," .. -', <', ~"~ifl':': ',,,,'- \~ ' ,c. " .. . " , (>'; .. .. .. : , ...., .-'i . .." nd' _.. .. ..."" __ _, _ ~ _ , ' .. , , ...... .... .. ,.. .. ...... .. .. . . .. ."". .... - ,', ESTATE OF ROBERT B. ROSS, SR. PENNSYLVANIA INHERITANCE TAX RETURN TABLE OF CONTENTS (EXHIBITS) A. Miscellaneous Documents 1. Table of Contents - Exhibits 2. Copy - Short Certificate evidencing the appointment of Rebecca B. Ross and Robert B. Ross, Jr. as Executors, and copy of Decedent's will dated March 6, 1996 3. Copy - Department of Revenue Official Receipt 4. Copy - Department's approval of extension of time to file 5. Copy - Safe Deposit Box Inventory B. Schedule A - Real Estate; Copy of real estate settlement sheet C. Schedule B- Stocks and Bonds 1. Morgan Stanley Account No. 410-041734-101 (Items 1- 25) 2. U.S. Savings Bonds (Item 32) D. Schedule F - Jointly-Owned Property; U.S. Savings Bonds (Item 1) E. Schedule G - Inter-vivos Transfers & Misc. Non-Probate Property 1. U.S. Savings Bonds (Item 1) 2. Morgan Stanley IRA Information (Item 2) . REV-1500 EX (6-00) OFF'ClAl USE ONLY COMMONWEALTH OF REV-1500 PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN FILE IfJM6ER DEPT. 280601 HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 21 - 04 0099 ----- COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURI1Y NUMBER I- Ross Robert B., Sr. 331-36-1731 Z w DAlE OF DEATH (MM-DD-YEAR) DAlE OF BIRTH (MM-DD-YEAR) TIllS RETURH MUST BE FilED IN DUPUCA TE WITH THE a w 1/26/2004 1/21/1945 REGISTER OF WILLS 0 w (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURI1Y NUMBER a - - ~ [K] 1. Original Return D 2. Supplemental Return D 3. Remainder Return (date of death prior to 12.13.82) ~ ~ D 4. Limned Estate D 4a. Future Interest Compromise (data of daath aft", 12-12-82) D 5. Federal Estate Tax Retum Required ~~ [K] 6, Decedent Died Testate (Attach copyofWII) D 7. Decedent Mainteined a LMng Trust (Attach copy of Trust) L B. Total Number of Safe Deposn Boxes ~ D 9. litigation Proceeds Received D 10. Spousal Pover1yCredit (date of death between 12.-31.91.nd 1-1-9$) D 11. Election to tax under Sec. 9113(A)(AttlchSchO) .... NAME COMPLElE MAILING ADDRESS z w 0 David M. Watts, Jr. 100 Pine Street, P.O. Box 1166 z 0 FI RM NAME (If Applicable) Q, Ul ~ McNees Wallace & Nurick LLC Harrisburg, PA 17108-1166 0 lELEPHONE NUMBER 0 717-237-5344 1. Real Estate (Schedule A) (1) 130,050.00 qFICIAL USE ONL'!'..., 525,134.88 ,..-..\ 2. Stocks and Bonda (Scheduie B) (2) 3. Closely Held COfpOI'etion, Partnership CX' Sole-ProprietCX'ship (3) 0.00 4. Mortgages & Notes Receivable (Schedule D) (4) 0.00 5. Cash, BMk Deposits & Miscellaneous Personal Property (5) 34,449.44 (Schedule E) Z 6. Jointly Owned Property (Schedule F) (6) 337.28 0 D Sep8l8le Biiling Requested i= :5 7. Inter.Vivos Transfers & Miscellaneous Non-Probate Property (7) 30,914.56 ::I (Schedule G CX' L) l- ii: 8. Total Gross Assets (total Lines 1-7) (8) 720,886.16 c( 0 40,674.27 w 9. Funerai Expenses & Administrativa Costs (Schedule H) (9) a:: 10. Debts of Decedent, Mortgage Liabitnies, & Liens (Sdledulol) (10) 1,405.43 11. Total Deductions (totel Lines 9 & 10) (11) 42,079.70 12. Net Value of Estate (Line B minus Line 11) (12) 678,806.46 13. Charitable and Governmental Bequests/See 9113 Trusts for v.tIich an election to tax has not been (13) 0.00 mede (Schedule J) 14. Nat Value Subject to Tax (Line 12 minus Line 13) (14) 678,806.46 SEE INSTRUCTIONS ON REVERSE SIDE FDR APPLICABlE RATES 15. Amount of Line 14 taxable at the spousal tax 0.00 x.O ~(15) 0.00 z rate, or transfers under Sec. 9116 (a)(1.2) 0 i= 16. Amount of Une 14 taxable at lineal rate 647,554.62 x .0 45 (16) 29,139.96 ~ => 30,914.56 3,709.75 a.. 17. Amount of Line 14 taxable at sibling rate x .12 (17) :Iii 0 337.28 50.59 0 18. Amount of Line 14 taxable at collateral rate x .15 (18) >< c( 19. Tax Due 32,900.30 I- (19) 20. ~ CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 3W46451.oo0 Decedent's Complete Address: \ ) STREET AllllRESS 2 Circle Drive CITY I STAlE I ZIP Camp Hill PA 17011-2607 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 32,900.30 2. Credits/Payments A. Spousal Poverty Credit 0.00 B. Prior Payments 32,300.00 C. Discount 789.47 Total Credits (A + B + C) (2) 33,089.47 3. InteresUPenalty if applicable D. Interest 0.00 E. Penalty 0.00 TotallnteresUPenalty (D + E) (3) 0.00 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) 189.17 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) 0.00 (5B) 0.00 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;. . . . . . . . . . . . . . . D [J!] b. retain the right to designate who shall use the property transferred or its income: . D [J!] c. retain a reversionary interest: or . ... .. ... ...... ... ... .. . D [J!] d. receive the promise for life of either payments, benems or care? . . . . . . . . . D []] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 D!l 3, Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? I!J 0 4. Did decedent own an Individual Retirement Account. annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IRJ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, Indudlng accompanying schedules and statements, and to the best of my knowledge and belief, it ia true, correct and complete. Declaration of preparer other than the personal representatiw I, based on all infonnatlon of which prepsrer has BIlY knowledge. SlGNAlURE OF PERSON RESPONSIBLE FOR FILING RE11JRN DAlE ~ iJ.~ ~.~, .;tD:) 5 AllllRESS DAlE Pine Street, P.O. Box 1166 Harrisburg, PA 17108-1166 _!_'!II!U!II!U~__.,1l!II!U!!i1!! . ..rUl _!I!!!!!!!l1! WI_ '!P __:HI.IIII"'! 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 d the sul"Aving spouse is 3% [72 P.S. !j9916 (a) (1.1) (i)J. For datas of death on or aftar January 1, 1995, the tax rate imposed on the net valua of transfers to or for the use of the su!'Alling spouse is 0% [72 P.S. !j9116 (a) (1.1) (ii)] The statute does not exempt a transfer to a surviving spouse from tax. and the statutory requirements for disdosure 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 tv.oenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a steppaAlnt of the child is 0% [72 P.S. !j9116(a)(1.2)). The tax rate imposed on the net value of transfers to or for the use of the decedent's Iineel beneficiaries is 4.5%, excapt as noted in 72 P.S. !j9116(1.2) [72 P.S. !j9116(a)(1)]. The tax rate imposed on the net value oftransfars to or for the use of the decedent's siblings is 12% (72 P.S. !j9116(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. 3W4646 1.000 Decedent's Complete Address: STREET ADDRESS 2 Circle Drive CIlY I STATE I ZIP Camp Hill PA 17011-2607 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 32,900.30 2. Credits/Payments A. Spousal Poverty Credit 0.00 B. Prior Payments 32,300.00 C. Discount 789.47 Total Credits (A + B + C) (2) 33,089.47 3. Interest/Penalty if applicable O. Interest 0.00 E. Penalty 0.00 Total Interest/Penalty (0 + E) (3) 0.00 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) 189.17 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (SA) 0.00 (5B) 0.00 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;. . . . . . . . . . . . . . . . . D ~ b. retain the right to designate who shall use the property transferred or its income;. . . . . D ~ c. retain a reversionary interest; or ... ... ... .. .. ..... ... .. .. D ~ d. receive the promise for life of either payments, benerds or care? . . . . . . . . . .. ... D []I 2. If death occurred after December 12. 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . D ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ~ D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IKJ D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPlETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, Induding accompanying sc:hedules and statements, and to the best of my knowledge and belief, it is true. oorrect and complete. Declaration of preparer other than the personal representatiw is based on all information of which preparei'" has any knowledge. ~~P~IBLEFORALlNGRE1URN DATE '1 -'J:J-as DATE Street, P.O. Box 1166 Harrisburg, PA 17108-1166 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net w1ue of transfers to or for the use cAthe sUMving spouse is 3% [72 P.S.!j 9916 (a) (1.1)(1)]. For datas of death on or aftar Jenuary 1, 1995. tha tax rate imposed on the net value of transfers to or for the use oftha sunAving spouse Is 0% [72 P.S. !j9116 (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 awn 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 twen~e years cA age or younger at death to or for the use cA a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. !j9116(a)(1.2)). The tax rate imposed on the net value of transfers to or for the use oftha decedenfs lineal beneficiaries is 4.5%. except as noted in 72 P.S. !j9116(1.2) [72 P.S. !j9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's s1b~ngs Is 12% (72 P.S. !j9116(a)(1.3)]. A Sibling is defined. under Section 9102, as an individual who has at least one parent In common \Yith the decedent. whether by biood or edoption. 3W4646 1.000 Estate of Ross, Sr. Robert B. 331-36-1731 Executors (Page 1) Name Robert B. Ross, Jr. Address 333 Fellows Avenue, 1st Floor Syracuse, NY 13210- Tax ID - - Name Rebecca B. Ross Address 600 Roosevelt Boulevard Apt. G8 Falls Church, VA 22044- Tax ID - - REV-I502 EX + (6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Ross, Sr. Robert B. 21 04 0099 All ",al property ownad solely or ss a tenant In common must be "'ported at fair market value. Fair mar1<et value is delinad as the pries et ....ich property would be exchangad between e willing buyer and a willing seller, neither being compelled to buy or sell, both h...;ng reasonable kn<M4edge of the relevant facts. Real property which Is Jolntly-<>wned with rtght of survivorship must be disclosed on Schedule F. ITEM DESCRlPllON VALUE AT DATE NUMBER OF DEATH 1. Rea~ Estate located at 2 Circle Drive, East Pennsboro Township, Camp Hill, Pennsylvania 130,050.00 Real Estate valued per sales price; See attached copy of settlement statement TOTAL (Also enter on line 1, Recapitulation) $ 130,050.00 3W4695 1.000 (If more space is needed, insert addftional sheets of the same size) REV-1503 EX + (&.98) SCHEDULE B COMMONWEALTH OF PENNSYlVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Ross, Sr. Robert B. 21 04 0099 All property jointly-owned with right of survlvOfShlp must be disclosed on Schedule F. IlEM VALUE AT DAlE t>lJMBER CESCRJP1lON OF DEATH 1. The following assets held in decedent's Morgan Stanley Account No. 410-041734-101; See attached valuation information ----------------------------- 383.887 Shares Abbott Laboratories 15,617.67 Dividend accrued on 1/26/2004 94.05 2 575 Shares AES Corp. 6,072.00 3 1,000 Shares Amer Tech Ceramic Corp. 8,935.00 4 1,875.683 Shares American Investment Co. of America 55,689.03 5 2,212.499 Shares American New Perspective Fund 56,175.35 6 500 Shares Avaya Inc. 7,657.50 7 300 Shares EMC Corp 4,459.50 8 314.746 Shares Emerson Electric Co. 20,532.46 9 104.427 Shares Fannie Mae 8,188.64 10 3,279.561 Shares Franklin High Yield Tax Free A 35,124.10 11 212.537 Shares Goodrich Corp. 6,728.92 Total from continuation pages 299,860.66 TOTAL (Also enter on line 2. Recapitulation) $ 525,134.88 3W4696 1.000 (If more space Is needed. insert addnional sheets of the same size) Schedule B (Page 2) Estate of: Ross, Sr. Robert B. Item Value at Date No. Description of Death 12 200 Shares Home Depot Inc. 7,211.00 13 302.229 Shares Intl. Business Machines Corp. 29,831.51 14 500 Shares Lyondell Chemical Co. 8,330.00 15 400 Shares Morgan Stanley 23,826.00 Dividend accrued on 1/26/2004 100.00 16 1,500 Shares Morgan Stanley Plus S&P 500 Index 16,770.00 17 Morgan Stanley Active Assets Money Market Account 3,058.70 18 578.924 Shares Motorola Inc. 9,772.24 19 738.624 Shares Nuveen Premium Inc. Muni Fd. 10,998.11 Dividend accrued on 1/26/2004 59.09 20 204.426 Shares Pepsico Inc. 9,508.88 21 547.504 Shares Sara Lee Corp. 11,166.34 22 501. 296 Shares Technitrol Inc. 10,091. 09 23 7,631.4 Shares Van Kampen Equi ty and Income A 62,119.60 24 594.68 Shares Van Kampen Tr. Inv. Grade Muni. 9,624.90 25 200 Shares Walgreen 6,955.00 Total (Carry forward to main schedule) 219,422.46 Schedule B (Page 3) Estate of: Ross, Sr. Robert B. Item Value at Date No. Description of Death The following assets were individually held by the decedent: ----------------------------- 26 337.928 Shares T. Rowe Price International Stock Fund 4,028.10 27 624.264 Shares American Century Mutual Fund 17,379.51 28 587.001 Shares Oakmark Fund 22,634.76 29 271.326 Shares Oakmark Select Fund 8,598.32 30 27,059.73 Shares Vanguard Prime Money Market Fund 27,059.73 31 1 Share Walgreen Co. 34.78 The following bonds were held jointly between decedent and decedent's father who predeceased the decedent; therefore at the time of the decedent's death, the bonds were owned solely by the decedent: ----------------------------- 32 U.S. Savings Bonds, Series EE; See attached list for detailed bond and valuation information 703.00 Total (Carry forward to main schedule) 80,438.20 REV-1508 EX + (6-98) SCHEDULE E COMMONI/\/EAL TH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX REnJRN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF FILE NUMBER Ross, Sr. Robert B. 21 04 0099 Include the proceeds of litigetlon end the date the proceeds were _ by the estate. All property jolnUy-owned with the rtght of survivorship must be disclosed on Schedule F. ITEM VAlUE AT DATE NUMBER DESCRIPTlON OF DEATH 1 Citizens Bank Checking Account 3,604.00 2 The Patriot-News; Final Paycheck 9,079.14 3 2000 Honda Accord EX V6; Valued per Nada.com 16,250.00 4 AARP - Refund 17.46 5 Cash found in decedent's house 15.00 6 Cash found in Safe Deposit Box 115.00 7 Foreign Coins found in safe deposit box; Value based on January 26 currency conversion rate to US Dollars 6.47 8 Personal Property; Estimated by Executors; Amount includes specific property devised to children in Items II and III of decedent's will 2,500.00 9 Rite Aid Stock Security Settlement Payment 174.03 10 State Farm - Refund re homeowners insurance 277 . 84 11 Travelers Checks 410.00 12 U.S. Treasury - 2003 Income Tax Refund 211.00 13 U.S. Treasury - 2004 Income Tax Refund 1,649.00 14 Uncashed Check re real estate reimbursement 124.00 15 Upper Room - Subscription Refund 16.50 TOTAl IAlso enter on line 5 Recaoitulationl $ 34,449.44 3W46AD 1.000 (If more space is needed. insert edditional sheets athe same size) REV-1509 EX + (6-98) SCHEDULE F COMMOM'VEAL lH OF PENNSYLVANIA JOINTLY -OWNED PROPERTY I/III-ERlTANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Ross, Sr. Robert B. 21 04 0099 If an asset was made joint within one year of the decedent's date of death, It must be reported on Schedule G. SlRVIVlNG JOINT TENANT(S) NAME ADDRESS RELATIONSHIP 10 DECEDENT A. Ross, Anne C 240 Congers Lane, Massanutten, VA 22840 None B. C. JOINTLY-OWNED PROPERTY: lE1lBl DATE DESCRIPTION OF PROPERTY %OF DATE OF DEA lH ITEM FORJOINT MADE INCLUOE NIoME OF Fttw>OALINSTITVTION AN) BAN< ACCOLM DATE OF DEA lH DECO'S VALUE OF N..MEEROR SIMIlAR IDENTIfYING NJMBER. ATTACH DEED FOR NUMBER TENANT JOINT .x>INTlY-I-ELD REAl.. ESTATE VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 1 A 12/30/1899 U.S Savings Bonds EE Series; Bonds he1d joint1y with decedent's ex-wife 674.56 50.000 337.28 See attached information on bond ho1dings and va1uation TOTAL (Also enter on line 6 Recanitulationl $ 337.28 3W46AE 1.000 (If more space is needed, insert additional sheets of the same size) REV.1510 EX> (6-96) SCHEDULE G CClMMOlWYEAL 1H OF PENNSYLVANIA INTER-VIVOS TRANSFERS & I~ITANCETAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Ross, Sr. Robert B. 04 21 0099 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERlY ITEM N:t..l.CEll-EtWoEOFTI-ETRAN6FEREE, nElR RElATIONSHP TO DECEDENT Nf) DA1E OF DEATH % OF DECO'S. EXCLUSION TAXABLE IIlJMBEF TI-E OAlEOFTR.4H:FER. ATT1CHACClP( OF nE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST IF APPUCABLE) VALUE 1. U.S. Savings Bonds EE Series - Bonds payable on death to Donald G. Ross, Jr. , the decedent's brother 30,914.56 100.000 0.00 30,914.56 See attached information on bond holdings and valuation 2 Morgan Stanley ROTH Individual Retirement Account No. 410-019987-101; See attached valuation information 45,152.08 0.00 0.00 -IRA Value as of decedent's death was $45,152.08. The IRA is not taxable as that the Roth IRA was held for less than 5 years and the decedent was not 59 1/2, therefore any distributions would have been subject to a 10% penalty. 3 The Patriot-News Co. - 401(k) Plan 20,872.30 0.00 0.00 The decedent maintained a 401(k) with his employer which had a balance on the decedent's death of $20,872.30. Since the decedent was not yet 59 1/2, any distributions would have been subject to a 10% penalty; therefore the 401(k) balance is not taxable in the decedent's estate TOTAL (Also enter on line 7, Recapitulation) $ 30,914.56 (If more space is needed, insert additiona sheets of the same size) 3W46AF 1.000 REV-1511 EX + (12-99) SCHEDULE H COMMONllllEALlrt OF PENNSYLVANIA FUNERAL EXPENSES & INl-ERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ross, Sr. Robert B. 21 04 0099 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTlON AMOUNT A. FUNERAL EXPENSES: 1. Cremation Urn 80.00 2 Fl.owers 63.60 Total. from continuation pages 2,738.12 B. ADMINISTRATIVE COSTS: 1. Personal Representatiw's Commissions Name of Personal Representatiw(s) Social Security Number(s) I EIN Number of Personal Representatiw(s) - - Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees McNees Wallace & Nurick LLC (Estimated) 13,000.00 3. Family Exemption: (If decedent's address is not the same as dalmant's, attach explanaUon) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 477.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 165.00 7. 1 ABC Fuel. Oil. Co. Heating Oil. 537.14 2 Car Inspection and Emissions 84.14 Total. from continuation pages 23,529.27 . TOTAL (Also enter on line 9, Recapitulation) $ 40,674.27 3W46AG 1.000 (If more space is needed, insert additional sheets of the same size) Schedule H part 1 (Pag. -) Estate of: Ross, Sr. Robert B. Item No. Description Amount 3 Guest Book and Supplies for Memorial Service 42.72 4 Neill Funeral Home 2,695.40 Total (Carry forward to main schedule) 2,738.12 Schedule H part 2 (pag.. .,) Estate of: Ross, Sr. Robert B. Item No. Description Amount 3 Comcast Cable Services 83.10 4 Cumberland County Register of Wills Short Certificates 33.00 5 Cumberland County Register of Wills Filing Fees re Inheritance Tax Return and Inventory 30.00 6 Cumberland Law Journal Legal Advertising 75.00 7 East Pennsboro Township Final Sewer Charges; Paid at real estate settlement 29.90 8 East Pennsboro Township Sewer/Sanitation 192.00 9 Faulkner Honda Car Repairs 100.12 10 Free Flow Plumbing Work 260.00 11 Home Depot Supplies 28.36 12 Jerry Sweeten "Sweet N Gro" Lawn Care Mulch and Lawn Maintenance 116.60 13 McNees Wallace & Nurick LLC Costs Advanced as follows: Duplicating $ 15.80 Misc. Fee 5.00 Toll Calls 4.92 Postage 20.22 45.94 14 McNees Wallace & Nurick LLC Reserve for closing costs re duplicating, postage, etc. 125.00 Total (Carry forward to main schedule) 1,119.02 Schedule H part 2 (Page. .) Estate of: Ross, Sr. Robert B. Item No. Description Amount 15 Morgan Stanley Quarterly Investment Fees 1,099.20 16 Morgan Stanley Account Annual Fees 291. 23 17 Moving Van Rental and Gas Charges 258.65 18 New Door Handle, Lock & Key at decedent's residence 28.01 19 PA American Water Water Service 149.88 20 Pennsylvania Online E-mail Account Balance 63.70 21 PP&L Electric Service 272.47 22 Rebecca Ross and Robert B. Ross, Jr. - Executors The following expenses related to Executors travelling from Virginia and New York to Pennsylvania to arrange decedent's funeral and administer estate: Hotel Charges $ 737.54 Car Rental 245.00 Bus tickets and cab fares 97.00 Bob's expenses 2558.22 for meals, gas, mileage, and plane fare Becky's expenses 1584.45 for meals, gas, and mileage 5,222.21 23 Rebecca Ross and Robert B. Ross, Jr. - Executors Expenses incurred for postage, duplicating, and telephone calls 235.90 Total (Carry forward to main schedule) 7,621.25 Schedule H part 2 (pag.. .J) Estate of: Ross, Sr. Robert 8. Item No. Description Amount 24 Selling Expenses on Sale of Real Estate Commissions $ 7,803.00 Misc. Fees 127.00 Transfer Tax 1,300.50 Home Warrenty 549.80 Sellers Assistance 3,900.00 See attached settlement statement 13,680.30 25 State Farm Homeowners Insurance 338.00 26 State Farm Car Insurance 197.87 27 Steve Smith Handywork at house and lawncare 283.00 28 The Patriot-News Legal Advertising 109.30 29 Verizon Telephone Service 180.53 Total (Carry forward to main schedule) 14,789.00 REV-1512 EX+ (12-O3) SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INl-ERfTANCE TAX RElURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ross, Sr. Robert B. 04 21 0099 Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, Including unrelmbursed medical expenses. ITEM VALUE AT DATE NU.1BER DESCRIPTION OF DEATH 1. Commun.i.ty L.i.fe EMS Ambulance & Emergency Serv.i.ces 754.50 2 PA Department of Revenue Tax Due re 2004 Pennsylvan.i.a Income Tax Return 97.00 3 PA Department of Revenue 2003 Income Tax Due and 2004 est.i.mated tax payment 350.32 4 The Patr.i.ot-News F.i.nal Balance Due 20.05 5 WE STAB 2003 Local Income Tax 183.56 I TOTAL (Also enter on line 10, Recapijulation) $ 1,405.43 3W46AH 2.000 (If more space Is needed, insert addijlonal sheets of the same size) REV-1513 EX+(9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES IN-ERlTANCE TAX RElURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Ross Sr. Robert B. 21 04 0099 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Indude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 Anne C. Ross 240 Congers Lane Massanutten, VA 22840 U.S Sav.i.ngs Bonds EE Ser.i.es; Bonds held jo.i.ntly w.i.th decedent's ex-w.i.fe Inventory Value: 337.28 None 337.28 Total from cont.i.nuat.i.on pages 678,469.18 ENTER DOLlAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON- TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 3W46AI1.000 (If more space is needed, Insert additional sheets of the same size) Schedule J part 1 (Pagb 2) Estate of: Ross, Sr. Robert B. Item No. Descr.i.pt.i.on Relat.i.on Amount 2 Donald G. Ross, Jr. 219 Waverly Road W.i.lm.i.ngton, DE 19803 U.S. Sav.i.ngs Bonds EE Ser.i.es - Bonds payable on death to Donald G. Ross, Jr. , the decedent's brother Inventory Value: 30,914.56 Brother 30,914.56 3 Robert B. Ross, Jr. 333 Fellows Avenue, 1st Floor Syracuse, NY 13210 50% Res.i.due: 323,777.31 Son 323,777.31 4 Rebecca B. Ross 600 Roosevelt Boulevard, Apt G8 Falls Church, VA 22044 50% Res.i.due: 323,777.31 Daughter 323,777.31 Total (Carry forward to ma.i.n schedule) 678,469.18 Marjorie A. Wevodau Glenda Farner Strasbaugh First Deputy Register of Wills and Clerk of Orphans' Court KirnS. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland (C((J)(pJV One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717}240-7797 I INVOICE I Bill To: InvoiceNo: 331 Invoice Date: 4/27/2005 DAVIDM. WATISJR Estate of: ROBERT B, ROSS SR. 100 PINE STREET Estate No: 21-04-99 PO BOX 1166 cep HARRISBURG, PA 171081166 Qty Fee Description Fee Total 1 Additional Probate 35.00 $35.00 Total: 'Pd $35.00 V# 'I '3yq &3 C:" Checks should be made payable to the Register of Wills. Terms: Net 30. - STATUS REPORT UNDER RULE 6.12 Name of Decedent: Robert J. Youno Date of Death: 11/22/1983 Will No, 67-04-0099 Admin. No. Pursuant to Rule 6. 12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: I. 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. I is Yes, state the following: a. Did the personal rep~ntative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c . Did the personal representative state an account informally to the parties in interest? Yes V 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: 6/20/2005 rp !fA, Signature John MEakin Name (Please type or print) Market Square Building '- Mechancisburo PA 17055 Address ( 717 ) 766-3172 :.l Tel. No, Capacity : Personal Representative L Counsel for personal representative cP BUREAU OF INDIVIDUAl; T,AXES"---- INHERITANCE TAX DIVISION PO BOX 280601 HARRIS8URG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05) -.1" -..1 ; DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-29-2005 ROSS SR 01-26-2004 21 04-0099 CUMBERLAND 101 ROBERT B DAVID M WATTS JR MCNEES HAL PO BOX 1166 HBG Amount Remitted PA 17108 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 4-- REV-1607 EX AFP (03-05) --------------------------------------------------------------------------- *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF ROSS SR ROBERT B FILE NO.21 04-0099 ACN 101 DATE 08-29-2005 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-11-2005 PRINCIPAL TAX DUE: 32,900.30 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-26-2004 CD003866 789.47 15,000.00 10-22-2004 ~ CD004546 .00 17,300.00 08-12-2005 REFUND .00 189.17- TOTAL TAX CREDIT 32,900.30 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 " IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) RI.