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HomeMy WebLinkAbout04-0418 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Ma~y D. Bowm&n No. ~-t '"0~ also known as To: Register of Wills for the , Deceased. County of C'nmF~rl Social Security No. ~ 209-14-8947 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut rix in the last will of the above decedent, dated February 27 ..... and codicil(s) dated in the named , 2004 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Dee. eau:lent was domiciled at death in Cumb~rl&nd CountY, Pennsylvania, with her _~ last family or principal residence at 4676 H~n Av~nu~ ..... C~ Hill, PA (list street, number ~d muncipalit~) Decendent, then 77 years of age, died Apr~Z, Z~ 2004 Except as follows, de'dent did not marry, was not divorced and did not have a child born or adopted 5fter execution of th~] offered for probate; was not the victim of a killing and was never adjudicated .!~competent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in PennsYlvania situated as follows: 4676'Ham~en Avenue, Comp H~,ll, PA $ 3,000 $ $. ~z, 000 WHEREFORE, petitioner(s) respectfully, request(s), the probate of the last will and codicil(s) presented herewith and the grant of letters. th6ron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) iT .J~nette M. Hoover ~ Etters: PA 17319 OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 3 COUNTY OF CUMBERLAND; SS · The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to lhe. best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will wel!.gn~ truly adm~ister__ t~eestate according to law. Sworn to or affirmed and subscribed ,- ~/L.~x'~4 Y~O~]~7... before me this 28th day of !~ ~' · /la-,~il - - ' ~, 1~ 20~ J ~ Estate Of No. DECREE OF PROBATE AND GRANT OF LETTERS , Deceased AND NOW the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated .~. ~ .'~ ,>~fO ~ described therein be admitted to probative and filed of record as the last will of and Letters -- I ~T/q rr~ ml/--l~ I~ ~ are hereby granted to ~l~r~eTre. ]fYi, l--~c~o I~, t~ consideration of the petition on FEES TOTAL Filed ................................... G. Patrick O' Connor No. 64720 ATTORNEY (Sup. Ct. I.D. No.) ADDIt~$S Camp Hill, PA 17011 PHONE (717) 737-7760 his :s fo ce?!? that r;~e information here given is correctly copied from an original certificate of death duty filed with me as Local Registrar. The o~'iginal 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. Fec fo, this certificate, $2.00 ~ Local Registrar ~ P :[0040350 No. Date iCOMMONWEALTH OF PENNSYLVANIA o DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH 4626 Hampden Avenue 4626 Hampden Ave. Camp Hill, PA 17011 April 11, 2004 15,2004 National Cern. PA .... kplnlOn, dealh occurled al Ihe lime, dali, and place, and due lo Iht ClUlI(I) and [] rS, / LAW OFFICES OF STEPHENJ. I-IOGG '19 S. HANOVER STREET SUITE '101 CARLISLE, PA '17013 WILL OF MARY D. BOWMAN I, Mary D. Bowman, of Camp Hill, Cumberland County, Pennsylvania, declare this to be my last Will and hereby revoke all prior Wills and Codicils. I direct that all my just debts, funeral expenses, gravemarker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. I direct that all inheritance, estate, transfer, succession and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. direct that my entire estate be distributed as follows: I leave to my son, Gary M. Bowman, a life estate in my residence at 4626 Hampden Avenue, Camp Hill, Pennsylvania, for and during the term of his natural life or for so long as he wishes to reside there as his personal residence, in the event he vacates said property or in the event of his death, the remainder interest in said property shall become a part of my residuary estate. I leave the remainder of my estate, including the above real estate to my children, William F. Bowman, Jr., Gary M. Bowman and Jeanette M. Hoover. Should any of my children predecease me, their share shall go to their children in equal shares. I appoint Jeanette M. Hoover as Executrix of this my last Will. Should Jeanette M. Hoover predecease me or cease to act in such capacity, I appoint William F. Bowman, Jr., and Gary M. Bowman, jointly, as alternates. The Executor of this Will shall have the power to distribute my estate in kind or in cash, or partly in either. LAW OFFICES OF STEPHEN.I. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 I direct that no Executor acting under this Will shall be required to enter bond in any jurisdiction. IN WITNESS WH._..~E~F' I have hereunto set my hand this ~--~ day of ,/'--~'~~~'~----'~ ,2004. I~ARY D. BOWMAI~ SUBSCRIPTION: r~/,~,, Z~,/~LL)/T'k~/''') MARY D. BOWMAN LAW OFFICES OF STEPI-IEN j. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 The preceding instrument consisting of this and two other pages was on the day and date hereof signed, publiShed and declared by Mary D. Bowman, as and for her last Will in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. -W~TNES'~ - WITNESS LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 State of Pennsylvania County of Cumberland ACKNOWLEDGMENT SS I, Mary D. Bowman, the testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last Will; that I signed it willingl~Land as my free and voluntary act for the purposes therei~ MARY D. BOWMAN SUBSCRIPTION: MARY D. BOWMAN Sworn to or affirmed aQ.~l~knowledge, O/~ef~Tre me by Mary D. Bowman, the testatrix, this ~/__ day -- AFFIDAVIT State of Pennsylvania SS County of Cumberland We, ~,q~,,~ro?~'~=~ .'~,~;~h~/_and ~ 1~,,"~ ~(~. /~ (?~"{C-~he witnesses whose names are signed to the aEached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last Will; that the testatrix signed willingly and executed it as her free and volunta~ act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the Will as a witness; and that to the best of our knowledge the testatrix was at that time 18 or more yearn of age, of ~~~no~ . ~ __~ constraint~~.~ ~°r undue influence.~.~, _ S~orn to or affirm~ and subscribed ~ before me this ~ day of ~~~ ~2004. by witnesses, HBNA America P.O. Box 15137 Wilmington, DE 877-767-9383 19850-5137 06/22/04 REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE, #102 CARLISLE, PA 17013 Re: In the Estate of MARY D BOWMAN Probate Case No. Social Security No: Last known residence: Our Client: Account Number: Amount of Debt: 212004418 000000000 4626 HAMPDEN AVE CAMP HILL, PA 17011 MBNA AMERICA 4264292721018212 $ 4559.00 Dear Sir or Madam Enclosed please find a Creditor's claim to be filed in the record with the above-referenced Estate. Please remm a file stamped copy of the claim in the enclosed self-addressed, stamped envelope. Thank you for your assistance. If you have any questions or if this is a duplicate claim, please call our firm toll free at 1-877-767-9383. Cordially, MBNA America Enclosures A check for $5.00 for the filing fee. cc: Attorney for Estate Personal Representative This letter is an attempt to collect a debt and any information obtained will be used for that propose. This letter is from a debt collector. 4581 6/16/2004 1141681 COMMONWEALTH OF PENNSYLVANZA NO TICE OF CLAIM COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DZVZSZON Zn Re: The Estate of: MARY D BOWMAN Deceased Court File No: 212004418 TO: THE CLERK OF THE ORPHANS' COURT DZVZSZON: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PA.C.S.A. §3532(b)(2). MBNA AMERICA 1) 2) Claimant's name: Claimant's address: 3) P.O. BOX 15137 WILMINGTON, DE 19850-5137 877-767-9383 Creditor listed below is the owner and holder of a claim in the amount of $ 4559.00 4) 5) The facts upon which this claim is based: This claim is based on an account for credit evidenced by the attached Affidavit of Account Stated. Decedent's address: 4626 HAMPDEN AVE CAMP HILL, PA 17011 6) Date of Death: 04/11/04 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by. On behalf of the claimant, ! do solemnly declare and affirm under the penalties of perjury that they !nformation and representations made herein are true and correct to the best of my knowledge, information and belief. Dated: ~ ~'~'~ ~Lu y cille Roberts/Jessica Le~uthofized Repre/~entati~e-For MBNA A. merica Written notice of claim was given to Personal l~epresentative/and/or his/her~ounsel as stated below: JEANE~-FE M HOOVER Name ~ ' 80 WHISTLER RD Address EVERS, PA 17319 City/State/Zip. Date notic~ m~iled IN RE ESTATE OF: MARY D BOWMAN AFFIDAVIT OF ACCOUNT The undersigned, being first duly swom deposes and states the follows: Your Affiant is authorized by the Claimant as its Authorized Representative- In-Fact to make this Affidavit. Your Affiant has reviewed the account records of the Claimant with respect to the decedent. Your Affiant is familiar with these records and accounts and reviews them as a regular part of his/her duties. The Decedent purchased merchandise in the amount of $ 4559.00 evidenced by account number 4264292721018212 The unpaid balance does not include any post-death late payment charges, accrued interest, collection costs or attorney's fees. Further your affiant sayeth not MBNA America. Subscribed and sworn before me day of ~ This ,2004. t,¢'~ '~NIE A. JOHNSON (~(~..)~) NOTARY PUBUC - MINNESOTA ~ HENNEPIN COUNTY My Commission Expires Jan. 31, 2008 O Authorize/d Representatives: Lucille Roberts Jessica Lerbs ~ MBNA America P. O. Box 15137 Wilmington, DE 19850- 5137 I MBNA America P.O. Box :1.53.37 Wilmington, DE :1.9850-5't37 877-767-9383 06/22/04 REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE, #102 CARLISLE, PA 17013 Re: In the Estate of Probate Case No. Social Security No: Last known residence: Our Client: Account Number: Amount of Debt: MARY D BOWMAN 212004418 209148947 4626 HAMPDEN AVE CAMP HILL, PA 17011 MBNA AMERICA 5490999017338871 $ 4638.30 Dear Sir or Madam Enclosed please find a Creditor's claim to be filed in the record with the above-referenced Estate. Please remm a file stamped copy of the claim in the enclosed self-addressed, stamped envelope. Thank you for your assistance. If you have any quest/om or if this is a duplicate claim, please call our firm toll free at 1-877-767-9383. Cordially, MBNA America Enclosures A check for $5.00 for the filing fee. cc: Attomey for Estate Personal Representative This letter is an attempt to collect a debt and any information obtained will be used for that purpose. This letter is from a debt collector. 4581 6/16,'2004 1141681 COMMONWEALTH OF PENNSYLVANIA NOTICE OF CLAIM COURT OF COMMON PLEAS OF CUMBERLAND .COUNTY ORPHANS' COURT DIVISION In Re: The Estate of: MARY D BOWMAN Deceased Court File No: 212004418 TO: THE CLERK OF THE ORPHANS' COURT DIVISION: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PA.C.S.A. §3532(b)(2). MBNA AMERICA 1) 2) 3) Claimant's name: Claimant's address: P.O. BOX 15137 WILMINGTON, DE 19850--5137 877-767-9383 Creditor listed below is the owner and holder of a claim in the amount of $ 4638.30 4) 5) The facts upon which this claim is based: This claim is based on an account for credit evidenced by the attached Affidavit of Account Stated. Decedent's address: 4626 HAMPDEN AVE CAMP HILL, PA 17011 6) Date of Death: 04/11/04 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by. On behalf of the claimant, ! do solemnly declare and affirm under the penalties of perjury that they !nformation and representations made herein are true and correct to the best of my knowledge, information and belief. L~/~,~L e Roberts/Je ' Dated: · ssica Lerbs.~;~rized Represe?~ati~e For MBNAT/~merica Written notice of claim was given to Personal Rd15resentative ahd/or his/her'counsel as stated below: JEANETI-E M HOOVER Name 80 WHISTLER RD Address EVERS, PA 17319 City/State/Zip, Date IN RE ESTATE OF:MARY D BOWMAN AFFIDAVIT OF ACCOUNT The undersigned, being first duly swom deposes and states the follows: Your Affiant is authorized by the Claimant as its Authorized Representative- In-Fact to make this Affidavit. Your Affiant has reviewed the account records of the Claimant with respect to the decedent. Your Affiant is familiar with these records and accounts and reviews them as a regular part of his/her duties. The Decedent purchased merchandise in the amount of $ 4638.30 evidenced by account number 5490999017338871 The unpaid balance does not include any post-death late payment charges, accrued interest, collection costs or attorney's fees. Further your affiant sayeth not MBNA America. Subscribed and swom before me This ~-,~..~ day of ~4LEJ ,2004. t/~'~ ST~PHA~ A. JOHNSON (~(~)~!) NOTARY-'PILIB! lC-MINNESOTA ~.~ HENNEPIN COUNTY "~-~'~ My Commission Expires Jan. 31,2008 By: On'it}' Autho~z~dd Repr~entatives: Lucille Roberts Jessica Lerbs MBNA America P. O. Box 15137 Wilmington, D~E'.l-9850- 5 ! .3,7 Cumberland County - Register Of wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 08/02/2004 O'CONNOR G PATRICK 3105 OLD GETTYSBURG RD CAMP HILL, PA 17011-7208 RE: Estate of BOWMAN MARY File Number: 2004-00418 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 08/07/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Personal Representative(s) Judge Sincerely, Clerk of the Orphans' Court Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 08/02/2004 HOOVER JEANETTE M 80 WHISTLER ROAD ETTERS, PA 17319 RE: Estate of BOWMAN MARY File Number: 2004-00418 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPtlANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 08/07/2004 Your prompt attention to this matter will be appreciated. Thank You. CC: File Counsel Judge Sincerely, Clerk of the Orphans' Court ~CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: _. MARY D. BOWMAN Date of Death: 04/11/2004 Will No. 2004-00418 To the Register: PA. No. _ 21-04-0418 I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on. 9/17/04 : Name Ad__dress Jeanette M. Hoover 80 Whistler Road Etters PA 17319 WilliamF. Bowman Jr. 259 StonerRoad Mechanicsbur PA 17011 G M. Bowman 2426 Ham den Avenue Cam Hill PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None Date: 9/17/04 Name _ G. Patrick O'Connor, Esq. Address 3105 Old Gettysburg Road Camp Hill, PA 17011 Telephone (717) 737-7760 Capacity: _ X Personal Representative Counsel for Personal Representative JRD/June 30, 1992/17858 01 2004¢ In Re: Estate of Mary Bowman Late of Hampden Township Estate No.: 21-04-418 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-2004-418 NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: Jeanette M Hoover Counsel for Personal Representative: G. Patrick O'Connor Date of Grant of Original Letters: 04-28-2004 Date of Delinquency Notice: 08-07-2004 The undersigned, Glenda Farner-Strasbaugh, Clerk of the Orphans' Court, in accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on August 7, 2004, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 09-01-2004 Glenda Famer Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for at in Courtroom No. 3. If the Certification of Notice is flied prior to the hearing date, the hearing will automatically be c~qcelled. George' E~fe~mv ~/ JRD/June 30, 1992/17858 0 1 2004 SEP In Re: Estate of Mary Bowman Late of Hampden Township Estate No.: 21-04-418 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-2004-418 NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: Jeanette M Hoover Counsel for Personal Representative: G. Patrick O'Connor Date of Grant of Original Letters: 04-28-2004 Date of Delinquency Notice: 08-07-2004 The undersigned, Glenda Farner-Strasbaugh, Clerk of the Orphans' Corot, in accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on August 7, 2004, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court is hereby notified o£ such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 09-01-2004 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for at in Courtroom No. 3. If the Certification of Notice is filed prior to the hearing date, the hearing will automatically he cam:elled. George. ~Jj~:er~.J[ J'l j WELTMAN, WEINBERG & REIS Co., L.P.A. A~FORNEYS AT LAW 175 South Third Street, Suite 900 Columbus, Ohio 43215 800.325.9965 614. 801.2710 www.weltman.com q BURLINGTON, NJ 609.914.0437 CINCINNATI, OH 513.723.2200 CLEVELAND, OH 216.685.1000 DETROIT, MI 248.362.6100 PHILADELPHIA, PA 215.599.1500 PITTSBURGH, PA 412.434.7955 Cumberland, Register Of Wills One Courthouse Square Carlisle PA 017013 RE: Estate of Mary D Bowman CLAIM OF: Bank One,N.A.Fka First Usa Bank OUR FILE NO.: 3751119 Dear Sir or Madam: 09/09/04 This law firm represents Bank One,N.A. Fka First Usa Bank in connection with its claim which we wish to file on our client's behalf into the estate of Mary D Bowman, deceased. Enclosed is our check in the amount of 5.00 which we understand is the filing fee for this claim. Our client's claim is based upon its account number 4417168592202901 in the amount of $4,496.83. Included with this letter is the claim form which we wish to present to this court and which we are forwarding to the attorney and/or fiduciary of this estate. It would be appreciated if all correspondence and disbursements with respect to this matter be forwarded to our office and to the attention of the undersigned. Additionally, it would be appreciated if any notices of any hearings also be forwarded to the undersigned. Thank you for your cooperation in this matter. This law firm is a debt collector attempting to collect this debt for our client and any information obtained will be used for that purpose, AIl J~. , Attorney ~ Law AJR:sek CC: Jeanette M Hoover and Patrick G O'connor Enclosure WWR#3751119 FORM 93-O.C. DIVISION IN THE COURT OF COMMON PLEAS of CUMBERLAND, REGISTER OF WILLS, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF No. 21-04-~ q/g Marv D Bowman Deceased For a credit card with Bank One,N.A.Fka First Usa Bank, Account No. 4417168592202901 CLAIM To the Clerk of Orphans' Court Division: Index and make proper entry in your official records of the claim of Bank One,N.A.Fka First Usa Bank c/o Weltman, Weinberg & Reis Co., L.P.A., 175 South Third Street, Suite 900 Columbus OH 43215 (Claimant) in the amount of $4,496.83 against the estate of the above named decedent. This claim is filed under Section 3532 (b) (2) of the Probate, Estates and Fiduciaries Code. The said decedent, who resided at 4626 Hampden Ave Camp Hill PA 17011 , died on 04/11/04 (Address) Written notice of this claim was given to Jeanette M Hoover & Patrick G O'connor on (Personal representative, if any, or coun~ ~ 80 Whistler Rd Etters, PA 17319 & 3105 Old Gettysburg Rd Camp Hill PA 9/~01//1 ? · / Address or Personal Representative, if any, or counsel f t/~ ~,~ All J is to'ney for Claimant wlelt~0/~l~erg, & Reis ~o., L.P.A. 175 South ~l'hird Street, Suite 900 Columb7 OH 43215 3751119 STATEMENT OF ACCOUNT FOR: Bank One,N.A.Fka First Usa Bank DECEDENT'S NAME: Mary D Bowman ADDRESS: 4626 Hampden Ave CSZ: Camp Hill PA 17011 SSN: 209-14-8947 ACCOUNT #: 4417168592202901 BALANCE DUE: ~;4~496.83 DOD: 04/11/04 EXHIBIT A Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/07/2005 RISCH CARL C 10 EAST HIGH STREET CARLISLE, PA 17013 RE: Estate of RILL RAYMOND J File Number: 2003-00418 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent IS death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/01/2005 Your prompt attention to this matter will be appreciated. Thank You. ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge ~ "r '" i, ,', l:;~~p , I,) I~" 1'1;1'." ~I\" I 8 ~\'f" '. ~ ,~ .\. ~l., ~ ',l,l~,\\\\ \:, "" ~ is:'i;:~J":i'\{'n,f ~,.,~t"il '<~\,"~:,'~; ;1'1:~ q ;4 -,J 1'\ l~ I f,...) " C' r:~' d.-_,_.' OR~' " ,."..J, , CljtJ, " 1\( j\ ,1' ~ 3 ....Q) o (fl ~:3 Q) 0 -;;;-C ._ t: "'=' &8 ~~ cc<"'> :3 :3'" 000 ()()~ "O"O<{ ceo.. .!!!.!!! Q)Qicll .0.000 E E';: =' :3 (ll ()()() :'\ .,.. \, n' c, _,,__e'-' . ro o '" Q) Q) ~ - 'S'5 goo uJa:; ~~ ~ ~(/) C; v;..c.ot- ,- .Q')mT'""" :;Ex",.,;: ~u;~o.. 'E~S.i ",> <II ..ccuo:.c .s.! c . ro o:oa.() fool i\i I') f') t') -rl ~:.~) !" ....-1 Law Office of Richard P. Mislitsky One West High Street P.O. Box 1290 Carlisle, Pennsylvania 17013 *Richard P. Mislitsky Telephone (717) 241-6363 Fax (717) 249-7073 June 1,2005 Cumberland County Register of Wills Cumberland County Courthouse Carlisle, PA 17013 RE: Estate of Mary Bowman File No. 2004-00418 PA File No. 21-04-0418 Dear Ms. Strausbaugh: I have enclosed a check in the amount of $4,320.00 for payment of estimated inheritance taxes on the above referenced Estate. Please contact this office if you have any questions. Sincerely, (?,;jo ~~~~~ 'D~~wigert Assistant enclosure "'Certified as a Civil Trial Advocate by the National Board of Trial Advocacy A Pennsylvania Supreme Court Accredited Agency Offices in: Carlisle Chambersburg York r.o.'.' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISSURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT O'CONNOR G PATRICK 3105 OLD GETTYSBURG RD CAMP Hill, PA 17011-7208 -------- fold ESTATE INFORMATION: SSN: 209-14-8947 FILE NUMBER: 2104-0418 DECEDENT NAME: BOWMAN MARY DATE OF PAYMENT: 06/03/2005 POSTMARK DATE: 06/02/2005 COUNTY: CUMBERLAND DATE OF DEATH: 04/11/2004 NO. CD 005388 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $4,320.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 2640 SEAL INITIALS: JA RECEIVED BY; REGISTER OF WILLS $4,320.00 GLENDA FARNER STRASBAUGH REGISTER OF WillS G. Patrick O'Connor Attorney-at-Law 3105 Old Gettysburg Road Camp Hill, PA 17011 Telephone: 717-737-7760 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Mary D. Bowman No. 2004-00418 Dear Register of Wills: August 24,2005 Enclosed are a check in the amount of $15.00 and an original and copy of the Pennsylvania Inheritance Tax Returns for the above estate, along with a stamped and self-addressed envelope for the receipt. Thank you for your consideration. GPO'Cllsm Enclosures c: File Sincerely, ~~ . G. Patrick O'Connor ,) I : - -. , ~ J'-) !"-'J C;'""'. i',,", N U) REV.I500 EX (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 .... Z W C W o W C w .... lIl:::$U) (.)It:lIl:: wlL(.) :1:00 (.)1t:.J lLlll lL <( INHERITANCE TAX RETURN RESIDENT DECEDENT -20- - --04- -004lS- - - COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) BOWMAN, MARY D. DATE OF DEATH (MM-DD-YEAR) 04/11/2004 DATE OF BIRTH (MM-DD-YEAR) 07/15/1926 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ 1. Original Return D 4. Limited Estate ~ 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date of deatl1 after 12-12-82) D. 7. Decedent Maintained a Living Trust (Attach copyofTrust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) .... Z W o Z o lL U) W It: It: o (.) )QONFI . COMPLETE MAILING ADDRESS t ~~EpATRICK O'CONNOR, ESQ. FIRM NAME (If Applicable) OFFICIAL USE ONLY -. FilE NUMBER SOCIAL SECURITY NUMBER 209 - 14 8947 D 3. Remainder Return (date ofdeatl1 prior to 12-13-82) D 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) TELEPHONE NUMBER (717) 737-7760 3105 GETTYSBURG RD. CAMP HILL, PA 17011 (1) (2) (3) (4) (5) 126,100.00 0.00 0.00 0.00 1,688.92 z o ~ ..J :) .... Q:' <C o w 0:: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (8) 28,385.45 20,079.84 (11) (12) (13) (6) 0.00 (7) 0.00 (9) (10) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ ~ :) Q. ::e o o ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ (15) X .045 (16) x .12 (17) x .15 (18) (19) 16. Amount of Line 14 taxable at lineal rate 79,323.63 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. [iJ CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT .'.N$WeRA'li.'QUJ;$TlQtt!S'QNREVJ;RSE$IOEAND'RECI1ECK'MA11i"~..~."~.l~:Z.t,.".;.' Ij.; ..1'0:.\ OFFICIAL USE ONLY -) -:) i"'-,) '-:-~-:J ; ~.:-) ::...r) -:'~" ') i') '::::"', --1 r"",,) r<> 127,788.92 4FL 4n~ _ ?q 79,323.63 0.00 (14) 79,323.63 3,569.56 3,569.56 _J,) ,-;, C") <.:-J . :'J \ .~~-:J 1, ; ("-:J Decedent's Complete Address: STRWigD~DEN AVENUE c'T'tAMP HILL, PA I STATE PA I ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 3,569.56 4,320.00 Total Credits ( A + B + C ) (2) 4,320.00 3. 69.93 Interest/Penalty if applicable D. Interest E. Penalty 4. Total Interest/Penalty ( D + E ) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check ~ox on Page 1 Line 20 to request a refund (3) (4) (5) (5A) (5B) 69.93 680.51 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT ~ab~;;'!lijt~J'J;~ li'''-'''''--'-''--i,,,.~;t~ilirJro:iol;~1~H\),,;~;i;-.'~;:i;':/~::<~tt{J~:~1i~':j~!~t~~~~~~~jlli~R:-j~:~~,;~~}*~~iiti.:;i!J~~~~lli~~:'.;ii~,,~~5#~~~2.;;,&:~'~~;ffJ~~~~it:f.~~\trklL~.Jh~':RC;?~:i-,.-: PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;.......................................................................................... 0 b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 O. retain a reversionary interest; or.......................................................................................................................... 0 d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................................................... .......... .................. ......................... 0 No [X] [X] ~ [K] [X] ~ A . RESS 3105 OLD GETTYSBURG RD., CAMP HILL, PA 17011 ~~41;1.","_ ",..=,w.~-,..,~""."'~!lilf~j~'l;~,~i.i;a~~~~tt-Q"..r._....'"',....,,-"_.-...._1)i~iII\,C!ii.j;;--iM~rt. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)). For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)). 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. WILL OF MARY D. BOWMAN I, Mary D. Bowman, of Camp Hill, Cumberland County, Pennsylvania, declare this to be my last Will and hereby revoke all prior Wills and Codicils. 1. I direct that all my just debts, funeral expenses, gravemarker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. 2. I direct that all inheritance, estate, transfer, succession and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. 3. I direct that my entire estate be distributed as follows: A. I leave to my son, Gary M. Bowman, a life estate in my residence at 4626 Hampden Avenue, Camp Hill, Pennsylvania, for and during the term of his natural life or for so long as he wishes to reside there as his personal residence. In the event he vacates said property or in the event of his death, the remainder interest in said property shall become a part of my residuary estate. B. I leave the remainder of my estate, including the above real estate to my children, William F. Bowman, Jr., Gary M. Bowman and Jeanette M. Hoover. Should any of my children predecease me, their share shall go to their children in equal shares. 4. I appoint Jeanette M. Hoover as Executrix of this my last Will. Should Jeanette M. Hoover predecease me or cease to act in such capacity, I appoint William F. Bowman, Jr., and Gary M. Bowman, jointly, as alternates. LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARUSLE. PA 17013 Pel :2-35 CJ~ l)~'. t" -;;:>5 <D ~p \::) ,)I~-:)' (ju U1lr of this Will shall have the power to 6' f estate in kind or in cash, or partly in either. 3~.~ LAWOFFlCESOF STEPHEN J. BOGG 19 S. HANOVER STAEET SUITE 101 CARUSLE. PA 17013 6. I direct that no Executor acting under this Will shall be required to enter bond in any jurisdiction. F. I have hereunto set my hand this '27 .2004. <~ MARK.;, ~ ~r c, ~RY D. BOWMAN SUBSCRIPTION: man{. b. &t.iJman MARY D. BOWMAN LAW OFFICES OF 'EPBE.N J. HOGG 'S. HANOVER STREET SUITE 101 ~ARUSLE. PA 17013 ., ; '1'" \.: The preceding instrument consisting' of this and two other pages was on the day and date hereof signed, published and declared by Mary D. Bowman, as and for her last Will in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. ~/k~ WITNES ~~~ l{4-jD WITNESS I v J ''c .' r---- - I ~..- ...~".....- LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARUSLE. PA 17013 ""State of Pennsylvania ss County of Cumberland I, Mary D. Bowman, the testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last Will; that I signed it w~n~and as my free and voluntary act for the purposes therei~s '. ~~ \, ~ MARK: . :.----=., MARY D. BOWMAN SUBSCRIPTION:ffiar~ D. &LDman MARY . BOWMAN Sworn to or affirmed am1~knowledge ~ ef re me by Mary D. Bowman, the testatrix, this ~ I day of . .' , . NOTARIAL SEAL STEPHEN J. HOGG, NOTARY POBLK; CARLISLE BORO. CUMBERlAND CO., PA iii 'f COMMISSION EXPIRES SEPTEMBeR 3, 2005 AFFIDAVIT State of Pennsylvania ss County of Cumberland We, (J tit!616rtJ~e.:)(S~ and ~ \-n (tV) \~ Goiithe witnesses whose names qre signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last Will; that the testatrix signed willingly and 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 Will as a witness; and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and nder no constraint or undue influence. ~A'7d ~ H',ltJV r7~orn to or affir this :!:::.1 day of before me by witnesses, 2004. STEPHEN ::J"ARIAL SEAt . CARusu: BOR ~ I~TA.p.~ /'>1.Ir.IU MY COUM'SSION ~~B:I'U.MlJ co. 'pA Ei'TeMfUi:R a, 2001i REV-1502 EX+ (6-98* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER MAR YD. BOWMAN 2004-00418 All real property owned lolely or al a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is Jolntly-owned with right of llurvlvorshlp must be disclosed on Schedule F. SCHEDULE A REAL ESTATE ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Real estate at 4626 Hampden Avenue, Camp Hill, PA 17011, in Hampden Township, Cumberland County; owned solely by the decedent. 000 value is based on selling price. See attached copy of. settlement sheet. $126,100.00 / TOTAL (Also enter on line 1, Recapitulation) $ (II more space is needed, insert additional sheets of the same size) $126,100.00 .. . HUD -1 UNIFORM SETTLEMENT STATEMENT A. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B. TYPE OF LOAN 6. File Number: 1. FHA 2. FmHA 2005-026 3. X Conv. Unins. 4. VA 5. Conv. Ins. 8. Mortgage Insurance Case Number NA 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. were paid outside the closing; they are shown here for informational purposes and are not included in the totals. NOTE: TIN = Tax er's Identification Number D. NAME AND ADDRESS OF BORROWER: E. NAME, ADDRESS AND TIN OF SELLER: Esad CUturic Estate of Mary Bowman Katica Cuturic Jeanette Hoover, Executrix 5308 Oxford Court % G. Patrick O'Connor, Esq. Mechanicsburg, PA 17050 3105 Gettysburg Road . Camp Hill, PA 17011 77-6237947 H. SETTLEMENT AGENT NAME, ADDRESS AND TIN OMB Approval No. 2502-0265 SETTLEMENT STATEMENT 7. Loan Number: 6020186 Items marked "(p.o.c.)" F. NAME AND ADDRESS OF LENDER: Sovereign Bank 1130 Berkshire Blvd. Wyomissing, PA 19610 G. PROPERTY LOCATION: 4626 Hampden Avenue Camp Hill, FA 17050 Richard P. Mislitsky, Esquire 25-1872066 1 West Hi h St Suite 208 Carlisle PA 17013 PLACE OF SETTLEMENT I. SETTLEMENT DATE Hampden Twp/CUmberl~nd Cty 3425 Market Street OS/25/2005 Cam Hill PA 17011 J SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101.Contractsalesorice 126 100.00 40 I. Contract sales orice 126 100.00 102. Personal oronertv 402. P~onalnronertv 103. Settlement chanzes to bolTOwer (Line 1400) 4 532.79 403. 104. 404. 105. 405. Adjustments for items naid bv seller in advance Adjustments for items oaid bv seller in advance 106. City/town taxes 406. City/town taxes 107. County taxes OS/25/2005 -12 /31 /2 005 142.99 407. County taxes OS/25/2005 -12 /31/2005 142.99 108. Asses.~menL~ 408. Assessments 109. Sewer 5/25-05-06/30/2005 45.49 409. Sewer 5/25-05-06/30/2005 45.49 llO.School Tax OS/25/0'>-06/30/05 95.41 410. School Tax OS/25/05-06/30/05 95.41 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 130 916.68 420. GROSS AMOUNT DUE TO SELLER 126 383.89 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 20 I. Deoosit or earnest money 3 000.00 501. Excess deoosit 202. Princinal amount of new loan(s) 126 100.00 502. Settlement chariles to seller (Line 1400) 14 128.04 203.Existinoloan(s)mkensu~ectto 503. Existina loan( s) taken subiect to 204. 504. Pavoff of first mortl!al!e loan PNC 1 084.67 205. FHLB Grant 3 000.00 505. Pavoff of second mortilaile loan 206. 506. 207. 507. 208. 508. 209. 509. Ad'ustments for items unoaid bv seller Adjustments for items unoaid bv seller 210. City/town taxes 510. City/town taxes 211. County taxes 511. County taxes 212. Assessments 512. Assessments 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BYIFOR BORROWER 132 100.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 15 212.71 130 916.68 132 100.00 1 183.32 126 383.89 15 212.71 111 171.18 SELLER'S STATEMENT The information contained in Blocks E, G, H, and I and on line 401 (or, ifline401 is asterisked,line 403 and 404) is important tax information and is being furnished to the Internal Revenue Service (see Seller Certification). If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS detc::rmines that it has not been reported. You are required to provide the Settlement Agent with your correct taxpayer identification number. If you do ~t provi~ 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 n er (Se1ler's Signature) Estate of Mary Bowman o EASY SOFT, Inc. 2001 Previous editions are obsolete Page 1 form HUD-I (3/86) ref Handbook 4305.2 L. SETTLEMENT CHARGES 700. TOTAL SALESIRROKER'. COMMISSION based on nrice $ 126 100.00 @ 6.000% PAID FROM PAlO FROM Division of Commission Iline 700\ as follows: BORROWER'S SELLER'S 701. S 7 566.00 to RE1MAX Realtv Associates Inc. FUNDS AT FUNDS AT 702. S SETTLEMENT SETTLEMENT 703. Commission naid at Settl....-nent 7 566.00 7~.Transaction fee to RE/MAX Realtv Associates Inc. 195.00 195.00 SIlO. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Oricrination Fee S 802. Loan Discount S 803. Aooraisal Fee to Central Penn Annraisers (S3 OOPOC from Ar:," Fee) 8~. Credit renort to cac r"omnanies IS12 POC from Aoolication Feel 805. Lender's Insoection Fee 806.Document prenaration Fee to Sovereinn Bank 310.00 807.Aoolication Fee to Sovereian Bank IS315.00 POC) 808. Automated Underwritina Fee to FNMATFHLMC ($20 POC from Ann Fee) 809. Deliverv Fee to UP~ 25.00 810. Tax Service Fee to LSI Tax Services 69.00 811. Flood Certifications to LSI Flood 25.00 812. 813. 900. ITEMS REOUlRED BY LENDER TO BE PAID IN ADVANCE 901. Interest from OS/25/2005 - 05 131/2005 @ T21. 4 55 ner dav 150.19 902. Mortllalle insurance-PremiUm for 903. Hazard insurance Premium for 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard insurance 3 month I sl @ S21.92 ner month 65.76 1002. Mort"a"e insurance 1003. City PronPrlV Taxes 1004. COWltv Proni>l'tv Taxes 4 month1sl @ ~2 0 . 17 ner month 80.68 1005. Annual assessments 1006. School taxes 12 monthlsl @ S80.61 ner month 967.32 1007. 1008. Allllre2ate ACCOWltina Adiustment -146.41 1100. TITLE CHARGES 110 1. Settlement or closina fee to 1102. Abstract ortitle search to Premier Abstract 115.00 1103. Title Examination to 1104. Title insurance binder to 1105. Document n...-n:t""tion to 1106. Nowv fees to D . Swiaert 10.00 1107. Attom""'s fees to lincludes line numbers: r I 1108. Title Insurance to Securitv Title/KML/RPM 1 008.75 lincludes line numbers: 1103 1104 1109. Lender'scoveraae $ 129100 00 1110. Owner'scoveraae $ 129100.00 1111. Endorsements 100 300 and Alta 8.1 to KML/Securitv Title 150.00 1112: Insured Closina Letter to Securitv Title 35.00 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 120 I. Recordinll fees: Deed $ 38.50 Mortcralle $ 64.50 Release 1; 103.00 1202. Citv/cntv taxlstamns: DeedS Mortlla"e $ 1 261. 00 1203. State taxlstamns: Deed 1; Mort"al!e $ 1 261. 00 1204. Recordina Fee for Second Mortnane 40.50 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. S urvev to \302. Pest insnection to Bowers Pest ITreatment to HomeSoec Insnection 35.00 572.40 1301. Arr Bal Case ID ti197000032 Ie::. Bowman I to Domestic Relationtions 213 .64 1304. Tax Certification Fee to Marie Huber 3.00 1305. Courier Fee to Federal Exnress (RPM) 30.00 1306. Estimated Estate Tax to Reaister of Wills 4 320.00 1400. TOTAL SETTLEMENT CHARGES (enter on lines 103 Section J and S02 Section I() 4 532.79 14 128.04 CERTIFICATION: 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 made 011 my account or by me in this transaction. I further certify that I received a copy of the HUD-I Settlement Statement 6aJ CJ-WV/ Borrower ~() pc~turi~ it (~Q Borrower Katica Cuturic e and accurate accowlt of the funds disbursed or to be disbursed by the undersigned as part of the settlement of OS/25/2005 Penalties upon conviction can include a fme and Page 2 form HUD-I (3/86) ref Handbook 4305.2 __M~I '* COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF MARY D. BOWMAN FILE NUMBER 2004-00418 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 2. 1989 Buick Century , per Kelley Blue Book Appraisal $ 1,272.17 355.00 PNC Bank, Checking Account, # 51-4016-4501 3. Mirror 2.00 4. Chair 1.00 5. Cake plate 22.00 6. Mirror 1.50 7. Sewing machine 12.00 8. Chair 0.25 9. Round table 1.00 10. Maytag washer 9.00 11. Shelf 2.00 12. Mirror 3.00 13. Mirror 2.00 14. Bedroom suit 6.00 TOTAL (Also enter on line 5, Recapitulation) $ 1,688.92 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF MARY D. BOWMAN FILE NUMBER 2004-00418 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Malpezzi Funeral Home Opening and Closing the Grave Headstone Luncheon after funeral 7,613.06 900.00 750.00 300.00 2. 3. 4. B. ADMINISTRATIVE COSTS: 1 . Personal Representative's Commissions 11. 12. 13. Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 6,389.44 3. Family Exemption: (If decedent's address is not the same as claimant's. attach explanation) Claimant Street Address City State .Zip Relationship of Claimant to Decedent 4. Probate Fees 237.00 5. Accountant's Fees 6. Tax Retum Preparer's Fees 7. Selling costs for real estate at 4626 Hampden Avenue, Camp Hill, PA UGI payments for real estate from date of death to sale PPL payments for real estate from date of death to sale Water payments for real estate from date of death to sale Homeowners insurance for real estate from date of death to sale Estimated final costs to close out estate 9,594.40 1,272.17 264.83 328.55 686.00 50.00 8. 9. 28,385.45 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (12-03) * COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF MARY D. BOWMAN FILE NUMBER 2004-00418 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Home equity loan at PNC Bank--Payments made prior to real estate closing 5. MBNA credit card 3,078.88 1,084.67 1,138.48 4,496.83 4,559.00 4,638.30 884.00 2. Balance of home equity loan at PNC Bank--Paid off at real estate closing 3. Real estate taxes--Payments made prior to real estate closing less taxes recovered at real estate closing 4. Chase Manhatan/Bank One credit card 6. MBNA credit card 7. Doreen Gunder, dentist 8. Verizon telephone 157.44 9. Com cast cable 42.24 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 20,079.84 REV-1513 EX+ (9-00. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARY D. BOWMAN SCHEDULE J BENEFICIARIES FILE NUMBER 2004-00418 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 [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. William F. Bowman, Jr. Son 1/3rdshare 2. Gary M. Bowman Son 1/3rd share Life estate in property at 4626 Harnden + life estate Ave, Camp Hill, PA and property was sold 3. Jeanette M. Hoover Daughter 1/3rd share ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE. ON REV-1500 COVER SHEET U NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed. insert additional sheets of the same size) 11-07-2005 BOWMAN 04-11-2004 21 04-0418 CUMBERLAND 101 APPEAL DATE: 01-06-2006 ( See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WIllS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 9YI_~~9~~_I~!~_~!~~______~___~~!~!~_~~~~~_~~~!!~~_~~~_y~y~_~~~~~~~__~____________________ REV-1S47 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX MARY D FILE NO. 21 04-0418 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION . PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLDWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX G PATRICK OCONNOR ESQ 3105 OLD GETTYSBURG RD CAMP HIll PA 17011 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN ESTATE OF BOWMAN REV-1547 EX AFP (06-05) MARY D TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED DATE 11-07-2005 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets Cl) (2) (3) (4) (5) (6) (7) 126.100.00 .00 .00 .00 1.688.92 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) nO) 28,385.45 20.079.84 (11) Cl2) Cl3) Cl4) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 127,788.92 48.465 29 79,323.63 .00 79,323.63 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ~ returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 79,323.63 X 045 = 3,569.56 .00 X 12 = .00 .00 X 15 = .00 Cl9)= 3,569.56 . ~. R"'.."'.....- (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-02-2005 " CD005388 69.44- 4,320.00 TOTAL TAX CREDIT 4,250.56 BALANCE OF TAX DUE 681.00CR INTEREST AND PEN. .00 TOTAL DUE 681.00CR · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ~" IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUEf<f' A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 -'--., COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05) '~_=~<: ~1 q ; 3 F'~: !: ;~7 G PATR:(dK 'OCONNOR ESQ 3105 OLD GETTYSBURG RD CAMP HILL PA 17011 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-27-2005 BOWMAN 04-11-2004 21 04-0418 CUMBERLAND 101 MARY D Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: CUT ALONG THIS LINE NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- REV-1607 EX AFP (03-05) --------------------------------------------------------------------------- *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF BOWMAN MARY D FILE NO.21 04-0418 ACN 101 DATE 12-27-2005 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: 11-07-2005 PRINCIPAL TAX DUE: 3,569.56 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-02-2005 "- CD005388 69.44- 4,320.00 12-06-2005 REFUND .00 681. 00- TOTAL TAX CREDIT 3,569.56 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 ll! IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REflECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) RK. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 O'CONNOR G PATRICK 3105 OLD GETTYSBURG RD CAMP HILL, PA 17011-7208 RE: Estate of BOWMAN MARY File Number: 2004-00418 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 4/11/2006 please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 HOOVER JEANETTE M 80 WHISTLER ROAD ETTERS, PA 17319 RE: Estate of BOWMAN MARY File Number: 2004-00418 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 4/11/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ,,/'J~Aa. 1,:-'. ,.~. . .~~~ Clerk of the Orphana . Court -........,,, cc: File Counsel fo G. Patrick O'Connor Attorney-at-Law 3105 OLD GETTYSBURG ROAD CAMP HILL, PA 17011 TELEPHONE: 717-737-7760 March 8, 2006 Glenda Farner Strasbaugh Clerk of the Orphans' Court Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 RE: Estate of MARY D. BOWMAN, Deceased File Number: 2004-00418 Dear Ms. Strasbaugh: Enclosed is the Status Report under Rule 6.12 in the above captioned estate. SinCerelY,;? ,u /~~ uG. Patrick O'Connor cc: Jeanette M. Hoover, Executrix Enclosure 0-.' -0 -..",., .:::- o R~~gi.S.t-.~i~ uJ/2V\Y"iIL~ ~cif CTU;."7Lil.J.be~laa~d CG'7;:.nt}-c- STATUS REPORT UNDER RULE 6.12 Name of Decedem: ELISA f3E77-i c. LVc/l1Jc:s-e-r2- Date of Death: ~v /.Jv~ Y 7) 2-0 cJL Estate No.: :2_0 C 2- - G C'.J q Cf '-I . Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 3 No 0 2. If the answer is No, SUite when the personal representative reasonably believes that the administration win be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a fInal account with the Court? Yes 0 No 0 -:LNI..Jc'lZi'7';Clv1)LE ~)C 12e:r:-v/l:U IM-s: 13EEv(j FiLED. b. TIle separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the p<:rties in interest? Yes 0 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: 5--Lrou <=!" ~ so ~ EN /IJ l Name Cl"\ C'j G 7 S- ()/-t/<.V/~ RD .;l.ddress Si4-tP?E'v,/:;8uR-{;- PA- 1727:-::,- J (711) /7b-5-V:~-7 Telephone No. c"') Capacicy: -IV! D-'--s~nal D e---oson~~-;"o ~ J. C:1. 0.1. .L..... p.lv ...... j.La.l,.J. Y'.... o CD-!..lDse1 fOT personal representati-"v'e \fY