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HomeMy WebLinkAbout03-0931Register of Wills of Estate of also known as Raymond C. Cumberland Anna County, Pennsylvania PETITION L. Christopher Christopher FOR GRANT OF LETTERS , Deceased Social Security No. 289- 07- 7975 Petitioner(s), who is/are 18 years of age or older, apply(les) for: (COMPLETE 'A' or 'B' BELOW:) [] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut or the Decedent, dated 04/03/2000 and codicil(s) dated None named in the last Will of 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: B. Grant of Letters of Administration (c.t.a.; d.b.n.c.ta; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLy- I P_ IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland r County, Pennsylvania with his/her last family or principal residence at 253 McKni~;ht Street, Carlisle, PA 17013 (list street, number, and municipality) Decedent, then 78 years of age, died 10/29/2003 at Claremont Nursing and Rehab Ctr, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania (Location) 25,000.00 50,000.00 s~uated as follows: 253 McKni~ht Street, Carlisle, PA 17013 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 undersi~lned: I Si~lnature Typed or printed name and residence .~_ _ 251 McKni~ht Street, Carlisle, PA 17013 Prepared by the Pennsylvania Bar Association Copyr,ght (c) 1996 form software only CPSystems, Inc. / ~/~~ Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the 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 or affirrned anc~ subscribed ~::~_~~ ~, ~ TI~ Raymond C. Christopher before me this i day of \'..'-'"~ko r ~h'~ i~ e g isjte r I0 VO' Estate of Anna L. Christopher Deceased Social Security No: 289- 07- 797.5 Date of Death: 10/29/2003 ANDNOW, ~,,~0~'' t0 ~)~ ,inconsideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters F-~ Testamentary F-'] Of Administration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Raymond C. Christopher in the above estate and that the instrument(s) dated 04/03/2000 described in the Petition be admitted to probate and filed of record a~e last Will of Decedent. ("'"~ Letters ........... ' il_: .____ ShortCertificate(s)...~. $ ~'1, O0 [ R'gister°fWillsl A Renunciation ........ $ Attorney: Robert J. MulderiE,, Esq. ~,, Affidavits ( ) .... $ I.D. No: 48619 Turo Law O££ice Extra Pages ( Z~( ) .... $ J Z'O O Address: 28 S. Pitt St. Codicil ........... $ JCP Fee .......... $ Carlisle, PA 17013 Telephone: 7'17/245-9688 Inventory .......... $ Other ........... $ TOTAL ......... Prepared by the Peri.sylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 (1991) I05.805 REV 9/86 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 750010 No. Local Registrar OCT 3 1 2003 Date COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH ~rl~d ],Mi~es~ ~ I Clar~n~ N-~ ........ I~ ~ .... ~c~.. I,~ , · -=' i-. ~ u~-9 ~ ~e~. un~r. ,.--....-0-~..-~ p,. ~ite ~k ~11o' s Res~ur~t <,, ~ ~., Wi~ed 253 M~night St. I.~s,~ ,,,.s ..... ~ ,,..~ ~.~,~,. ~rlisle, PA 17013 ~ ,, ~m~rl~d ~"~"~ ,,,.~ ~'~ ~lisle - ~yer C. ~ist~her ~ ~ ~ 11/03/2003 ,,. ivlary Jane ~rr I~,. 251 M~zght Street; ~rlisle, PA 17013 ,,,.~st Harrisburq ~Cru,,. ~. HarrisNrq, PA ~633 L ,,~inq Brothers ~eral H~r ~rlislef PA 17013 ANNA L. CHRISTOPHER I, Anna L. Christopher, of South Middletown Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his, her or its sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and to expend sums from my estate for this purpose. SECOND I give, devise and bequeath my entire estate together with all insurance proceeds thereon of whatever nature and wheresoever situate in equal shares, share and share alike, per stirpes to my son's, Raymond C. Christopher, of Carlisle, Pennsylvania, Gerald M. Christopher, of Boiling Springs, Pennsylvania, Arthur J. Christopher, of Boiling Springs, Pennsylvania, Rodney D. Christopher, of Gardners, Pennsylvania, and Robert L. Christopher, current address unknown. In the event any of my son's are not located in Central Pennsylvania at the time of my death, and their whereabouts are not readily identifiable, then I place that sons portion of my Estate into Trust with my Executor for a period of two (2) years and, if following the two (2) year period, my Executor is unable to locate this son, I order that his share be divided equally among my remaining beneficiaries. THIRD If, at the time of my death, any beneficiary of this my Last Will and Testament is under the age of 25 years or is, in the judgment of my personal representative, mentally disabled, I give, devise and bequeath said beneficiary's share to my Trustee, Allfirst Bank, of Carlisle, Cumberland, Pennsylvania, in Trust for said beneficiary, in accordance with the paragraphs below. FOURTH During the terms of any trust created pursuant to this Will the Trustee is authorized to expend and apply so much of the net income and principal of each such Trust as the Trustee shall consider advisable for the health, maintenance, support and education (including college education, undergraduate and graduate) of each such beneficiary until he or she attains 25 years of age, or until all such amounts are paid out of the Trust. When the beneficiary attains the age of 25 years or is in the judgment of my Trustee mentally sound, whichever occurs later, the Trust shall terminate and the remainder thereof shall be paid to said beneficiary. If said beneficiary shall die before the termination of said Trust, the Trust shall terminate and the remainder thereof shall be paid in accordance with the paragraph above. I direct that no Trustee shall be required to give or post bond for the faithful performance of the Trustee's duties in this or any other jurisdiction. FIFTH My executor and trustee are authorized and empowered to exercise from time to time in his, her or its sole discretion and without prior authority from any Court, in respect of any property forming part of any trust hereby created or otherwise in its possession hereunder all powers conferred by law upon trustees or executors and the testator intends that such powers be construed in the broadest possible manner. SIXTH I nominate, constitute and appoint my son, Raymond C. Christopher, of Carlisle, Pennsylvania, Executor of this my Last Will and Testament. In the event Raymond C. Christopher is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my son, Gerald M. Christopher, of Boiling Springs, Pennsylvania to serve instead. ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 'SS I, Anna L. Christopher, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to the law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Anna L. Christopher Sworn or affirmed and acknowledged before me by Anna L. Christopher, the Testatrix, this ..3/:~ day of /~/~ ? ~ , 2000. Notary Pub~' ' - ' ~ SEVENTH I hereby declare it to be my expressed desire that my personal representative employ Turo Law Offices of Cumberland County, Pennsylvania, for legal advise and assistance regarding this my Last Will and Testament, they having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and day of 7~r~, z z, ,2000. Testament this Witness Anna L. Christopher Witness AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 'SS whose names are attached to the foregoing document, being duly qualified according to the law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed and subscribed before me by i~'/,~'~' ?I $,~?~?// this ,~ '~ day of /~t~i/, .2000. and ANNA L. CHRISTOPHER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 003467 MULDERIG ROBERT J 28 S PITT STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 289-07-7975 FILE NUMBER: 2103-0931 DECEDENT NAME: CHRISTOPHER ANNA L DATE OF PAYMENT: 01/21/2004 POSTMARK DATE: 00/00/0000 COUNTY: CUM BERLAN D DATE OF DEATH: 10/29/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $3,484.00 TOTAL AMOUNT PAID: $3,484.00 REMARKS: RAYMOND C CHRISTOPHER SEAL CHECK# 1019 INITIALS: AC RECEIVED BY: GLENDA FARNER STRASBAUGH DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 003878 MULDERIG ROBERT J 28 S PITT STREET CARLISLE, PA 17013 fold ESTATE INFORMATION: SSN: 289-07-7975 FILE NUMBER: 21 03-0931 DECEDENT NAME: CHRISTOPHER ANNA L DATE OF PAYMENT: 04/29/2004 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 10/29/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $20.23 REMARKS: TOTAL AMOUNT PAID: ROBERT J MULDERIG, ESQ $20.23 CHECK# 2516 SEAL INITIALS: AC RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT280601 HARRISBURG. PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FiLE NUMBER 21 03 00931 COUNTY CODE YEAR NUMBER DECEDENT'S NAblE (LAST. FIRST, AND MIDDLE INITIAL) Christopher, Anna L ~)~F'E~)~F~'E~t~DDTYEAR~ i O~"rE OF BIRTH (MM-DO-YEAR) 10/29/2003 [09/17/1925 SOCIAL SECURITY NUMBER 289-07-7975 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER [] 1. Original Return [] 2. Supplemental Return [] 3. Remainder Return (date of death prior to 12-13-82) [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12-82) [] 5. Federal EstateTax Return Required [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach 8. Total Number of Safe Deposit Boxes of Will) copy of Trust) [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between [] 11. Election to tax under Sec. 9113(A) (Attach Sch O) 12-31-91 and 1-1-95) NAME i COMPLETE MAILING ADDRESS Robert J. Mulderig FIRM NAME (If applicable) Turo Law Offices 28 S. Pitt St. Carlisle, PA 17013 TELEPHONE NUMBER 717/245-9688 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 65,000.00 Non~E'3~ ( None 1,334.14 29,460.28 Nor~e 10,533.71 3,313.94 95,794.42 13,847.65 81,946.77 81,946.77 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) x .00 (15) 16. Amount of Line 14 taxable at lineal rate 81,946.77 x .045 (16) 3,687.60 17.Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 3,687.60 20. [] ..... , ........ Copyright 2000 form software only The Lackner Group, Inc. Form REV-tS00 EX (Rev. 6-00) Decedent's Complete Address: ISTREET ADDRESS 253 McKnight Street CITy Carlisle '- STAT~, ~ ~)P ~70i~ ...... Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) Total Credits (A + B + C) (2) 3,687.60 3,667.37 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line I + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page I Line 20 to request a refund 5. If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 20.23 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) '~ 0,2 3 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ............................................................................. [] [] b. retain the right to designate who shall use the property transferred or its income; ................................ [] [] c. retain a reversionary interest; or ............................................................................................................ [] [] d. receive the promise for life of either payments, benefits or care? .......................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................................................ [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ...... [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ............................................................................................................... [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and lo the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE 251 McKnight Street Carlisle, P3~ 17013 sr~o~-~ -O~IE~rF~ E P~ ES E NTATIV E ADDRESS DATE Rober_.t.J.~ltllder./E // /ff/~ ///.~/// 28 S. Pitt St. ~~~~ Carlisle, PA 17013 For dates of death on or after July 1,199"~and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT E TESTAOF ;::~ :~ SCHEDULE A REAL ESTATE i FILE NUMBER Christopher, Anna L i 21 - 03 - 00931 All real pr0~, owned solely or as a tenant in common must be reported at fair market value. Fair market value s defined as the price at which property would be exchanged between a willingbuyer anda willing seller, neither be ng compe led to buy or sell, both having reasonable knowledge of the relevant facts. Real property whicti is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER ! 253 Mcrni~ht-gtreet -- PA 17013 DESCRIPTION VALUE AT DATE OF DEATH Carlisle 65,000.00 TOTAL (Also enter on Line '1, Recapitulation) 65,000.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY Christopher, Anna L i FILE NUMBER 21 - 03 - 00931 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER 2 .3 4 5 6 7 8 DESCRIPTION VALUE AT DATE OF DEATH UNITY FINANCIAL VA FUNERAL EXPENSE CHECK PENN TREATY - REFUND OF PREMIUM ADAMS ELECTRIC HOSPITAL REFUND OF OVERPAYMENT BLUE MOUNTAIN ANESTHESIA ASSN REFUND ERIE INSURANCE REFUND REFUND OF BUYERS PRO RATA SHARE OF TAXES TOTAL (Also enter on Line 5, Recapitulation) 364.92 100.00 331.85 22.73 5.36 26.91 104.00 378.37 1,334.14 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT E ATEST-~OF:: : :: - SCHEDULE F JOINTLY-OWNED PROPERTY i FILE NUMBER Christopher, Anna L 21-03-00931 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A Raymond C. Christopher 253 McKnight Street Son Carlisle, PA 17013 JOINTLY OWNED PROPERTY: ITEM LETTER DATE NUMBER iFORJOINT MADE ~TENANT JOINT 1 A 2 A 3 A DESCRIPTION Of PROPERTY Include name of financial institution and bank account number or similar identifying number. Attach deed for jointly-held real estate. First Union cd 247022291873987 First Union CD 247022301873992 M&T Checking Acct 22639098 ,°ATE OF °EAT. i D cO s DATEOFD T. VALUE OF ASSET IINTERESTi VALUE OF , DECEDENT'S INTEREST 33,128.75 50%i 16,564.38 20,000.00 5,791.80 50%i 10,000.00 50%i 2,895.90 i 29,460.28 TOTAL (Also enter on line 6, Recapitulation) SCHEDULE H FUNERAL EXPENSES & ADMINkS"rRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Christopher, Anna L FILE NUMBER 21 - 03 - 00931 Debts of decedent must be reported on Schedule I. DESCRIPTION AMOUNT ITEM NUMBER A. 1 FUNERAL EXPENSES: Ewing Brothers Funeral Home, 630 S. Hanover St,. Carlisle, PA 17013 2 RILLO'S RESTAURANT 3 WANYE NOSS FLOWERS 4 CARLISLE MEMORIAL SERVICE ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Robert J. Mulderig Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Relationship of Claimant to Decedent Probate Fees Cumberland County Register of Wills Cumberland Law Journal The Sentinel Accountant's Fees Zip CUMBERLAND COUNTY REGISTER OF WILLS Tax Retum Preparer's Fees Other Administrative Costs TOTAL (Also enter on line 9, Recapitulation) 4,304.00 100.00 216.24 738.00 4,793.00 146.00 75.00 129.47 32.00 10,533.71 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS :FILE NUMBER Christopher, Anna L 21-03-00931 Include unreimbursed medical expenses. ITEM NUMBER 1 2 3 4 5 6 7 8 9 10 11 12 13 HOSPICE PP&L ANDORRA RADIOLOGY BLUE MOUNTAIN ANESTHESIA ASSN DAUPHIN OIL CHAMBERSBURG IMAGING COMCAST CHAMBERSBURG HOSPITAL CN&RC BOROUGH OF CARLISE THREE SPRINGS FAMILY PRACTICE B&H aGENCY (HOUSE APPRAISAL) REAL ESTATE TAXES DESCRIPTION AMOUNT 50.00 463.10 27.00 26.91 432.69 3.56 125.76 841.70 596.81 148.50 3.94 275.00 318.97 TOTAL (Also enter on Line 10, Recapitulation) 3,313.94 REV-1513 EX+ (9-00) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Christopher, Anna L NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY 4 TAXABLE DISTRIBUTIONS (include outright spousal distributions) RAYMOND C. CHRISTOPHER 251MCKNIGHT STREET CARLISLE, PA 17014 ROBERT L CHRISTOPHER STREET 251MCKNIGHT CARLISLE, PA 17014 ARTHUR J. CHRISTOPHER 611 GUTSHALL ROAD BOILING SPRINGS, PA 17007 GERALD M. CHRISTOPHER BOILING SPRINGS, PA 17007 132 RACE STREET RODNEY D. CHRISTOPHER GARDNERS, PA 17324 901 TORWAY ROAD 'FILE NUMBER 21 - O3 - OO931 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Son AMOUNT OR SHARE OF ESTATE TWENTY PERCENT Son iTWENTY PERCENT Son Son TWENTY PERCENT TWENTY PERCENT Son iTWENTY PERCENT II. Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheE i NON-TAXABLE DISTRIBUTIONS: iA. SPOUSAL DISTRIBUTIONS UNDER SECTION 911.3 FOR WHICH AN ELECTION TO TAX IS NOT IBEING MADE ~B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ANNA L. CHRISTOPHER I, Anna L. Christopher, of South Middletown Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his, her or its sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and to expend sums from my estate for this purpose. SECOND I give, devise and bequeath my entire estate together with all insurance proceeds thereon of whatever~ nature and wheresoever situate inequal shares, share and share alike, per stirpes to my son's, Raymond C. Christopher, of Carlisle, Pennsylvania, Gerald M. Christopher, of Boiling Springs, Pennsylvania, Arthur J. Christopher, of Boiling Springs, Pennsylvania, Rodney D. Christopher, of Gardners, Pennsylvania, and Robert L. Christopher, current address unknown. In the event any of my son's are not located in Central Pennsylvania at the time of my death, and their whereabouts are not readily identifiable, then I place that sons portion of my Estate into Trust with my Executor for a period.of two (2) years and, if following the two (2) year period, my Executor is unable to locate this son, I order that his share be divided equally among my remaining beneficiaries. THIRD If, at the time of my death, any beneficiary of this my Last Will and Testament is under the age of 25 years or is, in the judgment of my personal representative, mentally disabled, 1 give, devise and bequeath said beneficiary's share to my Trustee, Allfirst Bank, of Carlisle, Cumberland, Pennsylvania, in Trust for said beneficiary, in accordance with the paragraphs below. FOURTH During the terms of any trust created pursuant to this Will the Trustee is authorized to expend and apply so much of the net income and principal of each such Trust as the Trustee shall consider advisable for the health, maintenance, support and education (including college education, undergraduate and graduate) of each such beneficiary until he or she attains 25 years of age, or until all such amounts are paid out of the Trust. When the beneficiary attains the age of 25 years or is in the judgment of my Trustee mentally sound, whichever occurs later, the Trust shall terminate and the remainder thereof shall be paid to said beneficiary. If said beneficiary shall die before the termination of said Trust, the Trust shall terminate and the remainder thereof shall be paid in accordance with the paragraph above. I direct that no Trustee shall be required to give or post bond for the faithful performance of the Trustee's duties in this or any other jurisdiction. FIFTH My executor and trustee are authorized and empowered to exercise from time to time in his, her or its sole discretion and without prior authority from any Court, in respect of any property forming part of any trust hereby created or otherwise in its possession hereunder all powers conferred by law upon trustees or executors and the testator intends that such powers be construed in the broadest possible manner. SIXTH I nominate, constitute and appoint my son, Raymond C. Christopher, of Carlisle, Pennsylvania, Executor of this my Last Will and Testament. In the event Raymond C. Christopher is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my son, Gerald M. Christopher, of Boiling Springs, Pennsylvania to serve instead. ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA :SS COUNTY OF CUMBERLAND : I, Anna L. Christopher, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to the law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Anna L. Christopher Sworn or affirmed and acknowledged before me by Anna L. Christopher, the Testatrix, this ,.~ 4~ day of /~/~(~ ? Z, , 2000. Notary pub~' " - ' L~J SEVENTH I hereby declare it to be my expressed desire that my personal representative employ Turo Law Offices of Cumberland County, Pennsylvania, for legal advise and assistance regarding this my Last Will and Testament, they having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament this ,-,_~ day of 7~?,. z, ,2000. Witness Anna L. Christopher Witness AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND :SS ._ ~'f~OUf/'t~ the witnesses whose names are attached to the foregoing document, being duly qualified according to the law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed and subscribed before me by ~] '--7-,~ z~e. /~sh'~i~'- rtl. ,,¢gt~-~/ this 3 ';~ day of ~/~;A ,2000. and IL. SETTLEMENT CHARGES © EASY SOFT, Inc. 700. TOTAL SALES/BROKER's COMMISSION based on price $ 65, O00.00 @ Division of Commission (line 700) as follows: 701. $ 702. $ 703. Commission paid at Settlement 704. 800. ITEMS PAYABLE IN CONNECTION WI'I'H LOAN PAID FROM BORROWER'S FUNDS AT SETTLEMENT PAID FROM SELLER'S FUNDS AT SETTLEMENT 801. Loan Origination Fee $ 802. Loan Discount $ 803. Appmi~l Fee to Diversified Appraisal Service $325.00 LPOC 804. Credit repoa to The Credit Network $15.00 LPOC 805. LendefslnspecfionFee Application Fee $325.00 POC 806. Mortgage Insuraneee Application Fee to 807. Assumption Fee 808. Underwriting Fee to Citizens Mortgage Corp. 300.00 809. Tax Service Fee to First American Tax Service 810. Flood Certification Fee to First American Flood Date Service 61.00 11.00 811. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interestfi'om 04/12/2004-04/30/2004 @ $9.432 per day [ 179.20[ 902. Mortgage Insurance Premium for I 903. HazardinsurancaPr~Mumfor 1 year(s) to Erie Insurance $297.00 POC 904. 905. 1000. RESERVES DEPO~fI'ED WITH LENDER 1001. Hazard insurance 4 month(s) @ $24.75 per month 99.00 1002. Mortgageh~urance2 month(s) @ $31.50 per month 63.00 1003. City Property Taxes 81.36 1004. CountyPmpenyTax~ 3 month (s) @ $27.12 per month 1005. Annual assessments 1006. School Taxes 11 month(s) @ $59.45 per month 653.95 1007. 1008. Aggregate Accounting Adjustment -2 32.2 1 1100. I'I'I'LE CHARGES 1101. Settlement or closing fee to POC 1102. Abstract or title search to Tri-County Abstract 1103. Title Examination to 1104. Title insurance binder to 1105. Document preparation to 1106. Notary fl~es to 1107. Attorney's f~s to (includes line numbers: ll08. Titlelns~ancetoTuro Law Off, Agt. for Conestoga Title Ins. (includes line numbers: 1101 - 1110 1109. Lender's coverage $ 54000.00 1110. Owner's coverage $ 65000.00 llll. Lender's Endorsements 100, 300r 8.1 1112. Closing Protection Letter to Conestoga Title Insurance Co. 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CIIARGES 1201. Recording fees: DeedS 38.50 Mortgages 64.50 Release $ 103.00 202. City/cnty tax/stamps: Deed $ Mortgage $ 1203. State tax/stumps: Deed $ Mortgage $ 648.75 1204. 1205. 1300. ADDITIONAL SE'I'I'LEMENT CHARGES 1301. Survey to 1302. Pest inspection to 1303. Overnight Courier Fee to Ron Tut@, Esquire 15.00 1304. 1305. 1306. 1307. 1308. 1400. TOTAL SEI-rLEMENT CHARGES (enter on lines 103, Section J and 502, Section K) i 2, 1 6 8.0 5 CI/KTIFICATION I have carefully reviewed the HUD-I Settlement Statement and to the best of my knowledge and Belief~ it is a true and accurate statement of all receipts and disbursements on,.ll~' account or by me in this transaction. I further certify that I received a copy of the HLYD-I Settlement Statement. _ geller S Estate of Anna i. C~istopher Borrower / Raymond ~hristoph~r Seller Borrower To the best of my knowledge the HUD-I Settlement Statement which I have p~ is a txue and accurate account of the fonds which were received and have been or will be disbursed b}~'he undersigned as parIr~f the.,~,ttlement of this transaction. Se~le~/Agent ~R0 LAW OFFICES Date W~G: It is a crime ~ knowingly make f~lse statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonment. For details'sec: Title 18 U.S. Code Section 1001 and Section 1010. It-UD - 1 UNIFORM SETTLEMENT STATEMENT © EASY SOFT, Inc. SETTLEMENT STATEMENT A. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 6. File Number: 7. Loan Number: B. TYPE OF LOAN 2 3 1 2 0 6 2 1. FHA 2. FmHA 3. Conv. Unins. 4. VA 5. X Cony. Ins. 8. Mortgage Insurance Case Number 29708525 C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amouats 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. NOTE: TIN = Taxpayers IdentificationNumber D. NAME ANDADDRESSOFBORROWER: Raymond Christopher 251 McKnight Street Carlisle, PA 17013 G. PROPERTY LOCATION: 253 McKnight Street Carlisle, PA 17013 02-20-1800-136 E. NAME, ADDRESSANDTIN OFSELLER: Estate of Anna L. Christopher 28 South Pitt Street Carlisle, PA 17013 F. NAME AND ADDRESS OF LENDER: Citizens Mortgage Corp. D/B/A CMC Funding Company 10 Tripps Lane Riverside, RI 02915 H. SisY'fLEMENT AGENT NAME, ADDRESS AND TIN TURO LAW OFFICES 28 South Pitt Street, Carlisle, PA 25-1616709 17013 ?LACE OFSETTLEMENT Turo Law Offices I. SErTLEMLmNT DATE 04/12/2004 J. SUMMARY OF BORROWER'S TRANSACTION IC SUMMARY OF SEI,I,ER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO S~I.I,ER: 65,000.00 401. Coa~act ~.le~ price 65,000.00 101. Contract sales price 102. Personal property 103. Settlement charges to borrower (Line 1400) 402. Personal property 2,168.05 403. 104. 404. 105. 405. Adjustments for itemg paid by seller in advance Adj,,~n~ for items paid by seller in advance 106. City/town taxes 406. City/town taxes 107. County taxes 04/12/2004-01/01/2005 228.96 407. County taxes 04/12/2004-01/01/2005 408. ~'~'"~'~ 108. AK~qment~ 109. 409. 110. School Tax 149.41 410. School Tax 67,546.42 111. 1121 120. GROSS AMOUNT DUE FROM BORROWER 411. 412. 420. GROSS AMOUNT DUE TO SELLER 228.96 149.41 65,378.37 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Deposit or earnest money 501. Excess d~posit 202. Prinei?ai amount of new loan(s) 5 4,0 0 0.0 0 502. Scttlem~at charges to seller (Line 1400) 203. Exi~ng loan(s) taken subject to 503. Existing loan(s) taken subject to 204. Application Fee Refund 10.00 205. 206. 207. 208. 209. Adju~,,,ents for items unpaid by seller 210. City/town taxes 211. County taxes 212. Ass~iv~nts 504. Payoffoffirst rm,,;gage loan 505. Payoffof second mo,'!g~? loan 506. 507. 508. 509. Adj,,~ments for items unpaid by seller 510. City/town 511. County taxes 512. 213. 214. 215. 216. 513. il4. 515. 516. 517. 217. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR BORROWER 5 4 , 0 1 0 . 0 0 520. TOTAL REDUCTION AMOUNT DUE SELLER , 300. CASH AT SETTLEMENT FROM/TO BORROWER 301. Gross amount due from borrower (Line 120) 302. Less amount paid by/for N,~iower (Line 220) 303. CASH FROM BORROWER 600. CASH AT :515t"! LEMENT FROM/TO SELLER 67,546.42 601. Gross amount dueto seller (Line420) 5 4,0 1 0.0 0 [ 602. Less reduction in amount due miler (Line 520) 13,536.42 [ 603. CASHTO SELLER 65,378.37 65,378.37 SUBSTITUTE FORM 1099 SELLER STATEMENT The/nfummtion contained in Blocks E, G, I-I, and I and on line 401 (or, if line 401 is asterisked, line 403 and 404) is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. If this real estate is your principal residence, file Form 2119, Sale or Exchange of Principal Residence, for any gain, with your income tax return; for other transactions, complete the applicable parts of Form 4797, Form 6252 and/or Schedule D(Form 1040). You are required to provide the Settlement Agent (named above) with your correct taxpayer identification number. If you do not provide the Settlement Agent with your correct taxpayer identification number, you may be subject to civil or criminal penalties imposed by law. Under penalties of perjury, I certify that the number shown on this statement is my correct taxpayer identification number. (SellefsSignature) Estate of Anna L. Christopher (SellefsSignamre) FAMILY SETTLEMENT AND FINAL RELEASE ESTATE OF ANNA L. CHRISTOPHERT NO. 21-2003-931 BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA IN RE:Estate of Anna L. Christopher, deceased, No. 21-2003-931 WHEREAS, Testament, named Testament; Christopher, late Of KNOW ALL MEN BY THESE PRESENTS, that Anna L. Carlisle Borough, Cumberland County, Pennsylvania, deceased, diedl ~estate On October 29, 2003, having first made her Last Will and Testament, which was duly executed on April 2, 2000 and probated in the Office of the Register of Wills bf Cumberland County, on November 10, 2003. the said Anna L. Christopher, by the aforesaid Last Will and Raymond C. Christopher as Executor of said Last Will and WHEREAS, Letters Testamentary on the Estate of the said decedent were duly issued by the Register of Wills of Cumberland County, Pennsylvania, to the said Executor, hereinafter called personal representative; WHEREAS, the personal representative has gathered the assets of the Estate of the said decedent and the assets consist of personal and real property with the total value of Sxxx as set forth in Exhibit "A", which is a copy of the Pennsylvania Inheritance Tax Return filed and approved by said personal representative, and which is attached hereto and made a part hereof, and marked Exhibit "A"; WHEREAS, the debts and deductions, including the payment of inheritance tax in the said Estate, which have now been paid, leave a balance for distribution of $78,259.17, also as set forth in the statement of said personal representative, which is attached hereto and marked Exhibit "B"; WHEREAS, the balance for distribution as shown in the said statement marked Exhibit "B" has been distributed as herein indicated in accordance with the terms of the Last Will and Testament of the said Decedent; NOW, THEREFORE, Raymond C. Christopher, Arthur J. Christopher, Gerald M. Christopher, Rodney D. Christopher and Robert L. Christopher being all of the heirs under the Last Will and Testament of the said decedent, and being those persons entitled to inherit under said Last Will and Testament, do hereby each of us acknowledge that we have this day had and received from the aforesaid personal representative, in full satisfaction and payment of all sums of money, legacies, bequests, and devises as are given, devised and bequeathed to each of us respectively by the said Last Will and Testament, the amounts due us under said Last Will and Testament, which amounts we have received this day or prior to this day; and, each of us do hereby stipulate that in order to avoid the expense and time involved in the filing of a formal account and schedule of distribution, we each agree that no account is necessary and we do hereby agree that we do consent to distribution being made without the filing of an account and schedule of distribution, the same to be with the same force and effect as if they had been filed and confirmed by the Orphan's Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania. THEREFORE, we and each of us, do hereby remise, release, quitclaim and forever discharge the said personal representative, Raymond C. Christopher, his heirs, executors, administrators and assigned, of and from the said estate and from all actions, suits, payments, accounts, reckonings, claims, and demands whatsoever for or by reason thereof, or for any other use, matter, cause or thing whatsoever, touching upon the Estate of the said decedent, and each of us do further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this Agreement, we and each of us do hereby covenant and agree with each other and the aforesaid personal representative, that we will contribute pro-rata our share of the Estate to satisfy any and all claims, demands, suits or causes of action which may be successfully prosecuted against the said Estate or the aforesaid personal representative after the signing, sealing and delivery of this Family Settlement Agreement and Final Release. IN WITNESS WHEREOF, we have hereunto set our hands and seals the day and year noted below. Date Date Date Witness~/~" ' - - ¢_.j RayChond"0. Chnstopher! ~----Witne~s,- v~, ~ ur J.~'~ristopher ~//~-2~~ Ge raid M. Ch r~ Date Date itness- ' ' Rodney~. Chnstophe' -- ' 'r '~itneSs - /' ~ Raymond C. Chris~oph~r~, Trustee for Robert L. Christopher BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. ZSO60I HARRISBURG, PA 171Z8-060! ROBERT J MULDERIG TURO LAW OFFICES 28 S PITT ST CARLISLE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX PA 17013 DATE ESTATE OF DATE OF DEATH F/LE NUMBER COUNTY ACM 06-1q-ZOOq CHRISTOPHER 10-Z9-2005 21 03-0931 CUMBERLAND 101 Amount: Rem/~:~:ed REV-XSq7 EX AFP ANNA L MAKE CHECK PAYABLE AND REMIT PAYMENT TO.' REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LXNE I~ RETAIN LOWER PORTION FOR YOUR RECORDS REV-X547 EX AFP [01-03) NOTICE OF XNHERXTANCE TAX APPRAISEMENT, ALLOWANCE OR DXSALLOWANCE OF DEDUCTXONS AND ASSESSMENT OF TAX ESTATE OF CHRISTOPHER ANNA L FXLE NO. 21 03-0931 ACN 101 DATE 06-1q-ZOOq TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNXNG FUTURE XNTEREST- SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) $. Closely Held S~ock/Par~nersh/p In~eres~ (Schedule C) ($) Q. Mortgages/No'es Race/vable (Schedule D) (Q) 5. Cash/Bank Deposits/M/sc. Personal Proper~y (Schedule E) (5) 6. Jointly Owned Proper~y (Schedule F) (6) 7. Transfers (Schedule G) (7). 8. To,al Asse~s APPROVED DEDUCTZONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Cos~s/M/sc. Expenses (Schedule N) (9) 10. Dab,s/Mortgage L/ab/li~ies/L/ens (Schedule I) (10) 11. To,al Daduc~/ons 12. Ne~ Value of Tax Re~urn 65~000.00 .00 .00 .00 1~33~.1~ Z9~60.28 .00 (8) 10,533.71 NOTE: To insure proper cred/~ ~o your accoun~ subm/~ ~ha upper por~/on of ~h/s form ~/~h your ~ax payment. 15. lq. NOTE: 95,79q .~2 3~313.9q (11) 13.8~,7. (12) 81,9q6.77 reflect figures that include the total of ALL returns assessed to date. .0O AMOUNT PAZD 3,q8~.00 20.23 ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I BALANCE OF TAX DUEJ INTEREST AND PEN. TOTAL DUE TOTAL TAX CREDIT 3,687.60 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT 'rs REQUIRED. ZF TOTAL DUE IS REFLECTED AS A "CRED'rT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF TH'rS FORM FOR INSTRUCTTONS.) ASSESSMENT OF TAX: 15. Amoun~ of L/ne lQ a~.Spousal ra~e 16. Amoun~ of L/ne lq ~axable a~ Lineal/Class A ra~e 17. Amoun~ of L/ne lq a~ S/bl/ng ra~e 18. Amoun~ of L/ns lq ~axabla a~ Collateral/Class B ra~e 19. Pr/nc/pal Tax Due TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) 01-2l-ZOOq CDOO3q67 183.37 Oq-29-200q CD005878 .00 (~5) .00 x 00 = .00 (16) 81,9q6.77 x 0q5: 3,687.60 (17) .00 x 1Z = .00 (18) .00 x 15 : .00 (19)= 3,687.60 Chargeable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) Ne~ Value of Es~a~e SUb~ec~ ~:o Tax (lq) 81,9q6.77 Z~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 ~ill COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 2806O1 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL) Cl'u'istopher, Anna L z~ --D~'"rC"~~~ [ [~TE OF BIRTH (MM-DO-YEAR) ua ,9, ]0/29/2003 09/17/1925 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) I~ 1. (~-iginal Return -- [] 2. Supplemental Return ~.~ [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12-82) ~)~ [] 6. DecedentDiedTestate(Attachcopy [] 7. DecedentMaintainedaLivingTrust(Attach o ~ of W~ll) copy of Trust) < [] 9. Litigation Proceeds Received [] 10. Spousal Povedy Credit (date of death between 12-31-91 and 1-1-95) FILE NUMBER 21 03 00931 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 289-07-7975 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER [] 3. Remainder Return (date of death prior to 12-'~3-82) [] 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes [] 11. Election to tax under Sec. 9113(A) (AIlach Sch O) u')z ua ua FIRM NAME (If applicable) NAME Robert J. Mulderig ~ELEPHONE NUMBER 717/245-9688 COMPLETE MAILING ADDRESS 28 S. Pitt St. Carlisle, PA 17013 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 65,000.00 None None None 1,334.1~V 29 460 2:$~ None 10,533.71 3,313.94 95,794.42 13,847.65 81,946.77 81,946.77 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .14. Net Value Subject to Tax (Line 12 minus Line 13) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) x .00 (15) z 16. Amount of Line 14 taxable at lineal rate 17.Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 81,946.77 x .045 (16) 3,687.60 x .12 (17) x .15 (18) 19. Tax Due (19) 3,687.60 Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) De'cedent's Complete Address: ISTREET ADDRESS 253 McKnight Street -C. i3:V Carlisle STATE PA ;ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page I Line 19) 2. Credits/Payments · A. Spousal Poverty Credit B. Prior Payments C. Discount (1) Total Credits (A + B + C) (2) 3,687.60 3,667.37 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 1 Line 20 to request a refund 5. If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 20.2 3 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 2 0.2 3 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ............................................................................. [] [] b. retain the right to designate who shall use the property transferred or its income; ................................ [] [] c. retain a reversionary interest; or ............................................................................................................ [] [] d. receive the promise for life of either payments, benefits or care? .......................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................................................ [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or secudty at his or her death? ...... [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ............................................................................................................... [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this relum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correcl and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS R mond C. Christo her , ADDREss 251 McKnight Street Carlisle, Phi 17013 DATE -~(JRE ~~ ADDRESS DATE .o~]~r/"~ ~//~',~ ~',/~/~ 28 S. Pitt St. ' ................ ....................................................... g For dates of death on or after July 1,199"~and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer toa surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. _~ SCHEDULE A ~ REAL ESTATE COMMONWEALTH OF PENNSYLVANIA iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Christopher, Anna L {FILE NUMBER ~ 21 - 03 - 00931 A ~ II real property owned solely or as a tenant in common must be reported at fair market value. Fair market va~ue is defined as the price at which property would be exchanged between a willin.cl buyer anda willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property w'hicl~ is jointly-owned with right of survivomhip must be disclosed on. schedule F. ITEM NUMBER 1 ~ ' ~53'~Knight Street PA 17013 DESCRIPTION Carlisle TOTAL (Also enter on Line l, Recapitulation) VALUE AT DATE OF DEATH 65,000.00 65,000.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY I FILE NUMBER Christopher, Anna L i 21 - 03 ~ 00931 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of surv vorship must be disclosed on schedule F. ' ITEM NUMBER 2 4 5 6 7 8 DESCRIPTION VALUE AT DATE OF DEATH UNITY FINANCIAL VA FUNERAL EXPENSE CHECK PENN TREATY - REFUND OF PREMIUM ADAMS ELECTRIC HOSPITAL REFUND OF OVERPAYMENT BLUE MOUNTAIN ANESTHESIA ASSN REFUND ERIE INSURANCE REFUND REFUND OF BUYERS PRO RATA SHARE OF TAXES 364.92 100.00 331.85 22.73 5.36 26.91 104.00 378.37 TOTAL (Also enter on Line 5, Recapitulation) 1,334.14 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN , RESIDENT DECEDENT , SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF i FILE NUMBER Cl~'istopher, Anna L 21 - 03 - 00931 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A Raymond C. Clu-istopher Son 253 McKnight Street Carlisle, PA 17013 JOINTLY OWNED PROPERTY: LETTER DATE ITEM FOR JOINT. MADE NUMBER TENANT JOINT 1 A 2 A 3 A DESCRI~Y o ~ Include name of financial institution and bank account number l DATE OF DEATH i ~'/..o?,.F,_ ', DATE OF DEATH o~-L,u'~ VALUE OF or similar identi~ing number. Attach deed for jointly-held real IVALUE OF ASSET JlNTERE~TI ................... ~state. v-I ~,=~.~=,~.o ~,~m~o~ First Union cd 247022291873987 33,128.75 50% 16,564.38 First Union CD 247022301873992 M&T Checking Acct 22639098 20,000.00 5,791.80 50%[ 10,000.00 50% 2,895.90 TOTAL (Also enter on line 6, Recapitulation) i 29,460.28 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Christopher, Azma L i FILE NUMBER 21 - 03 - 00931 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSESi Ewing Brothers Funeral Home, 630 S. Hanover St,. Carlisle, PA 17013 RILLO'S RESTAURANT WANYE NOSS FLOWERS CARLISLE MEMORIAL SERVICE 4,304.00 100.00 216.24 738.00 i ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address I City State Zip Year(s) Commission paid Attorney's Fees R.obcrt J. Mu]deri§ Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Relationship of Claimant to Decedent Probate Fees Cumberland County Register of Wills Cumberland Law Journal The Sentinel Accountant's Fees Zip CUMBERLAND COUNTY REGISTER OF WILLS Tax Retum Preparer's Fees Other Administrative Costs 4,793.00 146.00 75.00 129.47 32.00 TOTAL (Also enter on line 9, Recapitulation) 10,533.71  SCHEDULE I DEBTS OF DECEDENT. MORTGAGE OOMMO"W~^'T"OF"~..SVLV^.,A ~ LIABILITIES, & LIENS Christopher, Anna L =FILE NUMBER 21 - 03 - 00931 Include unreimbursed medical expenses. ITEM NUMBER ! 2 3 4 7 g 9 10 ]! 12 !3 HOS]~-~ ' PP&L ANDORRA RADIOLOGY BLUE MOUNTAIN ANESTHESIA ASSN DAUPHIN OIL CHAMBERSBURG IMAGING COMCAST CHAMBERSBURG HOSPITAL CN&RC BOROUGH OF CARLISE THREE SPRINGS FAMILY PRACTICE B&H aGENCY (HOUSE APPRAISAL) REAL ESTATE TAXES DESCRIPTION AMOUNT 50.00 463.10 27.00 TOTAL (Also enter on Line 10, Recapitulation) 26.91 432.69 3.56 125.76 841.70 596.81 148.50 3.94 275.00 318.97 3,313.94 REV-1513 EX+ (9-0,0) ~k~ COMMONWEALTH OF PENNSYLVANIA iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Christopher, Alma L NUMBER SCHEDULE J BENEFICIARIES II, NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions) !FILE NUMBER 21 - 03 - 00931 RELATIONSHIP TO DECEDENT Do Not List Trustee~s) RAYMOND C. CHRISTOPHER STREET ROBERT L CHRISTOPHER STREET ARTHUR J. CHRISTOPHER ROAD GERALD M. CHRISTOPHER BOILING SPRINGS, PA 17007 RODNEY D. CHRISTOPHER GARDNERS, PA 17324 251MCKNiGHT CARLISLE, PA 17014 251MCKNIGHT CARLISLE, PA 17014 611 GUTSHALL BOILING SPRINGS, PA 17007 132 RACE STREET 901 TORWAY ROAD Son Son Son Son Son !Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT ~BEING MADE AMOUNT OR SHARE OF ESTATE [TWENTY PERCENT TWENTY PERCENT TWENTY PERCENT !TWENTY PERCENT tWENTY PERCENT lB CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET EXHIBIT B Amount to be distributed: Distribution to: Raymond C. Christopher Arthur J. Christopher Gerald M. Christopher Rodney D. Christopher Raymond C. Christopher, Trustee for Robert L. Christopher Total Distribution $78,259.17 $15,651.83 $15,651.84 $15,651.84 $15,651.83 $15,651.83 $78,259.17 BUREAU OF /ND/V/DUAL TAXES INHERZTANCE TAX DIVISTON DEPT. ZB0601 HARRISBURG, PA 17128-0601 CONHONHEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRA/SEMENT, ALLO#ANCE OR D/SALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-lSd7 EX AFP C01-05) DATE 06-1q-ZOOq ESTATE OF CHRISTOPHER DATE OF DEATH 10-29-2005 FILE NUHBER 21 03-0931 COUNTY CUHBERLAND ROBERT J HULDERIG ACN 101 TUROcARLiSLE28 S PITTLAW OFFICESsT PA 17013 I Amount Remitted I ANNA L HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF ~/ILLS CUHBERLAND CO COURT HOUSE CARLISLE.. PA 17013 CUT ALONG THIS L'rNE ~ RETAIN LONER PORTION FOR YOUR RECORDS *~ REV-1547 EX AFP (01-03) NOTZCE OF ZNHERZTANCE TAX APPRA'rSEHENT, ALLONANCE OR DZSALLONANCE OF DEDUCT'rONS AND ASSESSHENT OF TAX ESTATE OF CHRISTOPHER ANNA L FZLE NO. 21 03-0931 ACN 101 DATE 06-1q-200~ TAX RETURN ~/AS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVAT'rON CONCERN'rNG FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: 1 2 5 6 ORIGINAL RETURN Real Estate (Schedule A) (1) Stocks and Bonds (Schedule B) (2) Closely Held Stock/Partnership Interest (Schedule C) Hortgagas/Notas Receivable (Schedule D) Cash/Bank Daposits/Hisc. Personal Property (Schedule E) Jointly Owned Property (Schedule F} 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expensas/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule Z) 11. Total Deductions 12. Nat Value of Tax Return 65~000.00 .00 .00 .00 (5) lz35~.1~ (6) 29/~60.18 (7) .00 (9) (8) 10,533.71 (10) NOTE: To insure proper credit to your account, submit the upper portion of this form writh your tax payment. 13. 14. NOTE: 95,79q.qZ 3,313.9q (11) 13.8q7.65 (12) 81,9q6.77 Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) Net Value of Estate Subject to Tax (14) If an assessment was lssued previously, lines 14, 15 and/or 16, 17, reflect flgures that include the total of ALL returns assessed to date. .00 81,9q6.77 ASSESSHENT OF TAX: 15. Amount of Line lq at Spousal rate 16. Amount of Line lq taxable at Lineal~Class A rate 17. Amount of Line 14 at Sibling rate 16. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Duo ' ' TAX CREDITS: IPAY~[NT RECEIP1 DATE NUHBER 01-21-200~ CDOO3q67 0q-29-200~ ~CD OrO 387~8 I * "*'~' 18 and 19 Nill (15) .00 x O0 = .00 (16) 81,9q6.77 x Oq5= 3,687.60 (17) .00 x 12 = . O0 (18) .00 x 15 = .00 (19)= 3,687.60 IF PAID AFTER DATE /NDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. DISCOUNT INTEREST/PEN PAID (-} 183.37 .00 AMOUNT PAZD 3,q8q. O0 20.23 TOTAL TAX CREDIT 3,687.60 BALANCE OF TAX DUEI .00 ZNTEREST AND PEN. .00 TOTAL DUE . O0 ( ZF TOTAL DUE TS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" {CR}, YOU MAY BE DUE 0,: T,T. FO,, ,:0, RESERVATION: Estates of decedents dying on or before Deceeber 1Z, 198Z -- if any future interest in the estate is transferred in possession or enjoyment to Class S (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Coeaonweelth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class 6 (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act Z3 of 2000. (72 P.S. Section 91q0). Detach the top portion of this Notice and submit with your payment to the Register of gills printed on the reverse side. --Make check or money order payable to: REGISTER OF #ILLS~ AGENT A refund of a tax credit, which was not requested an the Tax Return, amy be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1515). Applications are available at the Office of the Register of Nills, any of the Z5 Revenue District Offices, ar by calling tho special Z4-hour ansaering service far forms ordering: 1-800-56Z-ZOSO; services for taxpayers with special hearing and / or speaking needs: 1-800-447-50Z0 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount ar interest) as sheen on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZSIOZI, Harrisburg, PA 17128-lOZ1, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dapt. Z80601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. Sam page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (5) calendar months after the decadent's death, e five percent (SI) discount of the tax paid is allowed. The 151 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 16, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the data of payment. Taxes which became delinquent before January 1, 196Z bear interest at the rate of six (61) percent par annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 198Z will bear interest at a rate which will vary frae calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 196Z through ZOO4 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 ~ .000548 ~-1991 11Z .000501 20Ol 9Z .000Z47 1985 16X .000458 1992 9Z .O00Zq7 200Z 6X .000164 1984 llZ .000501 1995-1994 7Z .O0019Z 2005 5Z .000157 1965 15Z .000556 1995-1998 9Z .000Z47 ZOO4 4Z .000110 1986 lOZ .000Z74 1999 7Z .O0019Z 1987 lOX .000274 ZOO0 7Z .00019Z --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAI'D X NUNBER OF DAYS DEL/NQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additionat interest must be calculated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 9/15/2005 MULDERIG ROBERT J 28 S PITT STREET CARLISLE, PA 17013 RE: Estate of CHRISTOPHER ANNA L File Number: 2003-00931 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 10/29/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ , I . . , GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge '-~ L_I Ci, 11 ' (' " -- ~I /-i-: - ( , ,',___' Register of Wi Us of Cumberland County STATUS REPORT UNDER RULE 6.12, AxJv~t. Chv,--, -f.arh~ Name of Decedent: Date of Death: Estate No.: ~tYc9s- e>Op~/ Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. Stat~ administration of the estate is complete: Yes)d.. No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the person\!!;pr€sentative file a final account with the Court? Yes 0 No ~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the perso~~sentative state an account informally to the parties in interest? Yes J&. No 0 c. Copies of receipts, releases, joinders and approval offonnal or informal accounts maybe filed with the Clerk of he Orphans' Court an may be _ / I attached to this report. - ~ ~e:~S C/( - c',:. r~~ '- ' 0_~; Sign.turll ~ ~Il/ /' ~C> Name ~y S iff J! ~j- Address Lee vlc~ rp-13- I :k:9/? 7/7- .J~t~,. 9'tL?8/ Telephone No. Capacity: 0 Personal Representative ~ounsel for personal representative \-~